DR. ELLIOTT DEAN STANLEY (D.O.) – Psychiatry Physician, NPI 1447655667

DR. ELLIOTT DEAN STANLEY (D.O.) is a healthcare provider. based in Newport, Kentucky. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. 05415 (KY). The NPI Number for DR. ELLIOTT DEAN STANLEY (D.O.) is 1447655667

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELLIOTT DEAN STANLEY (D.O.)
NPI
1447655667
Phone
(859) 655-6100
Address
215 E 11TH ST
Enumeration Date
30 October 2014
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
8596556100
Graduation Year
2014 (12 years ago)
PAC ID
7113395161
Group Practice PAC ID
9638089642
Professional Enrollment ID
I20221122002124
Address ID
KY410113313CO1401XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for DR. ELLIOTT DEAN STANLEY (D.O.)

  • 215 E 11TH ST

    NEWPORT, KY 410712203

    Phone: (859) 655-6100

    Type: Mailing

  • 374 MDG, YOKOTA AB

    UNIT 5071

    APO, AP 963685071

    Phone: (042) 225-3566

    Type: Mailing

  • 1401 MADISON AVE

    COVINGTON, KY 410113313

    Phone: (859) 655-6100

    Fax: (859) 655-6179

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $360.

Total Amount is formed as General ($360) + Research ($0) + Ownership ($0) = $360.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: ITI, Inc. ($257).

Total Amount

$360

General + Research + Ownership

Payments

6

Total payment records

General Amount

$360

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-11-22

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
I20221122002124IPsychiatryKYTBD

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 41071)

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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: 9638089642View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YOH
Family Practice, Geriatric MedicineMO
Nurse PractitionerOH
-KY
Family PracticeKY
Family PracticeKY

Reviews

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Frequently asked questions

What federal number belongs to DR. ELLIOTT DEAN STANLEY (D.O.)?
The federal identifier for DR. ELLIOTT DEAN STANLEY (D.O.) is NPI 1447655667.
Does this profile mean DR. ELLIOTT DEAN STANLEY (D.O.) is currently active?
Yes — DR. ELLIOTT DEAN STANLEY (D.O.) appears active in the national provider directory.
Does DR. ELLIOTT DEAN STANLEY (D.O.) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for DR. ELLIOTT DEAN STANLEY (D.O.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. ELLIOTT DEAN STANLEY (D.O.)?
The snapshot lists Newport, Kentucky for DR. ELLIOTT DEAN STANLEY (D.O.); download NPPES for the complete set.
What if Newport, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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