KRISTEN R STAKELIN (M.D.) – Internal Medicine Physician, NPI 1235138348

KRISTEN R STAKELIN (M.D.) is a healthcare provider. based in Georgetown, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 34091 (KY). The NPI Number for KRISTEN R STAKELIN (M.D.) is 1235138348

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN R STAKELIN (M.D.)
NPI
1235138348
Phone
(502) 863-0721
Address
1138 LEXINGTON RD
Enumeration Date
20 July 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8593237426
Graduation Year
1997 (29 years ago)
PAC ID
4486753365
Group Practice PAC ID
5698689909
Professional Enrollment ID
I20070618000225
Address ID
KY405043274LE2400XPTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

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Provider Addresses for KRISTEN R STAKELIN (M.D.)

  • 1138, Lexington Road, Georgetown, Scott County, Kentucky, 40324, United States

    STE 290

    GEORGETOWN, KY 403249672

    Phone: (502) 863-0721

    Fax: (502) 863-6104

    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 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-11-03 • Largest payer in this snapshot: Corcept Therapeutics ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Corcept Therapeutics$22
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: 2007-06-18

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
I20070618000225IInternal MedicineKYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes12071$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report5629$0
99213Established patient office or other outpatient visit, 20-29 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 40324)

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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: 5698689909View full group profile
NameSpecialtyState
Diagnostic RadiologyKY
A N E S T H E S I O L O G YFL
Pediatric MedicineKY
Internal MedicineKY
H O S P I T A L I S TOH
Critical Care (Intensivists), Pulmonary DiseaseKY
Interventional Radiology, Diagnostic RadiologyKY
Internal MedicineKY
Thoracic Surgery, Cardiac SurgeryKY
Pediatric Medicine, Internal MedicineKY

Reviews

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Frequently asked questions

Can I verify KRISTEN R STAKELIN (M.D.) with an NPI only?
You can start verification with NPI 1235138348 for KRISTEN R STAKELIN (M.D.), then check state licensing separately.
Can I rely on KRISTEN R STAKELIN (M.D.) being an active provider?
As of the registry snapshot, KRISTEN R STAKELIN (M.D.) is marked active.
What taxonomy line describes KRISTEN R STAKELIN (M.D.)?
For research purposes, treat KRISTEN R STAKELIN (M.D.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is KRISTEN R STAKELIN (M.D.) based?
KRISTEN R STAKELIN (M.D.) is tied to Georgetown, Kentucky in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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