STACEY M ANDERSON (APRN) – Nurse Practitioner, NPI 1013300896
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
Provider Addresses for STACEY M ANDERSON (APRN)
1221 S BROADWAY
LEXINGTON, KY 405042701
Phone: (859) 258-6200
Fax: (859) 258-6203
Type: Mailing
330 SEVEN SPRINGS WAY
BRENTWOOD, TN 370275098
Phone: (615) 920-7906
Type: Mailing
1225 S BROADWAY STE 201
LEXINGTON, KY 405042701
Phone: (859) 258-4950
Fax: (859) 258-4618
Type: Location
107 S BROADWAY ST
CARLISLE, KY 403111150
Phone: (606) 849-2323
Fax: (606) 849-2025
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 99 Open Payments records for all available years, with a total value of $2,063.
Total Amount is formed as General ($2,063) + Research ($0) + Ownership ($0) = $2,063.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($495).
Total Amount
$2,063
General + Research + Ownership
Payments
99
Total payment records
General Amount
$2,063
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $495 |
| GENZYME CORPORATION | $224 |
| Takeda Pharmaceuticals U.S.A., Inc. | $191 |
| Gilead Sciences, Inc. | $176 |
| Janssen Biotech, Inc. | $124 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-05-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150511002525 | I | Nurse Practitioner | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 122 | 49 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 83 | 33 | $0 |
Insurance plans in this area (ZIP 40504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | KY | |
| Family Practice | KY | |
| - | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| O T O L A R Y N G O L O G Y | TN | |
| Nurse Practitioner | KY | |
| General Surgery | KY |
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