STEPHANIE MAGGARD – Nurse Practitioner, NPI 1154719763

STEPHANIE MAGGARD is a healthcare provider. based in Monticello, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. 19401 (TN). The NPI Number for STEPHANIE MAGGARD is 1154719763

Main info

Female
12 Years Of Experience
Name
STEPHANIE MAGGARD
NPI
1154719763
Phone
(606) 348-3365
Address
1 S CREEK DR STE 102
Enumeration Date
5 January 2015
Last Update Date
20 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6064255768
Graduation Year
2014 (12 years ago)
PAC ID
6204261126
Group Practice PAC ID
0840529335
Professional Enrollment ID
I20200122002105
Address ID
KY426332245MO126XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for STEPHANIE MAGGARD

  • 1 S CREEK DR STE 102

    MONTICELLO, KY 426339472

    Phone: (606) 348-3365

    Fax: (606) 348-8496

    Type: Mailing

  • 1 MEDICAL CENTER BLVD

    COOKEVILLE, TN 385014294

    Phone: (931) 528-2541

    Type: Location

  • 126 FRANKLIN RD

    MONTICELLO, KY 426332245

    Phone: (606) 396-3534

    Fax: (606) 396-3535

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $248.

Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: ABBVIE INC. ($42).

Total Amount

$248

General + Research + Ownership

Payments

14

Total payment records

General Amount

$248

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

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: 2020-01-22

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
I20200122002105INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96372Injection of drug or substance under skin or into muscle2115$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1212$0
View full utilization report →

Insurance plans in this area (ZIP 42633)

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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: 0840529335View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Emergency MedicineKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerTN
Nurse PractitionerKY

Reviews

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Frequently asked questions

Can I verify STEPHANIE MAGGARD with an NPI only?
You can start verification with NPI 1154719763 for STEPHANIE MAGGARD, then check state licensing separately.
Does CMS list STEPHANIE MAGGARD as active?
Yes — STEPHANIE MAGGARD is active in the NPI listing used on this page.
What is STEPHANIE MAGGARD best known for clinically?
Directory data describes STEPHANIE MAGGARD with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does STEPHANIE MAGGARD serve?
STEPHANIE MAGGARD's listing highlights Monticello, Kentucky; more addresses can appear in NPPES.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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