MRS. STEPHANIE SOMERVILLE – Psychiatric/Mental Health Nurse Practitioner, NPI 1073211256

MRS. STEPHANIE SOMERVILLE is a healthcare provider. based in London, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. 3019064 (KY). The NPI Number for MRS. STEPHANIE SOMERVILLE is 1073211256

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STEPHANIE SOMERVILLE
NPI
1073211256
Phone
(606) 770-5053
Address
1370 S LAUREL RD STE 1
Enumeration Date
17 February 2023
Last Update Date
5 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6062617555
Graduation Year
2022 (4 years ago)
PAC ID
6002269016
Group Practice PAC ID
6608152384
Professional Enrollment ID
I20240125003961
Address ID
KY407011459CO415XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for MRS. STEPHANIE SOMERVILLE

  • 1370 S LAUREL RD STE 1

    LONDON, KY 407448304

    Phone: (606) 770-5053

    Fax: (606) 770-5054

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $409.

Total Amount is formed as General ($409) + Research ($0) + Ownership ($0) = $409.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($272).

Total Amount

$409

General + Research + Ownership

Payments

13

Total payment records

General Amount

$409

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-01-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240125003961INurse PractitionerKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40744)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608152384View full group profile
NameSpecialtyState
Mental Health CounselorKY
Clinical Social WorkerKY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. STEPHANIE SOMERVILLE's NPI?
Yes. MRS. STEPHANIE SOMERVILLE is listed with NPI 1073211256 in the public NPI dataset.
Can I rely on MRS. STEPHANIE SOMERVILLE being an active provider?
As of the registry snapshot, MRS. STEPHANIE SOMERVILLE is marked active.
What taxonomy line describes MRS. STEPHANIE SOMERVILLE?
For research purposes, treat MRS. STEPHANIE SOMERVILLE as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does MRS. STEPHANIE SOMERVILLE serve?
MRS. STEPHANIE SOMERVILLE's listing highlights London, Kentucky; more addresses can appear in NPPES.
Is the information about MRS. STEPHANIE SOMERVILLE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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