MRS. STACEY NICHOLE KROGGEL (O.D.) – Optometrist, NPI 1659579985

MRS. STACEY NICHOLE KROGGEL (O.D.) is a healthcare provider. based in Nicholasville, Kentucky. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1697DT (KY). The NPI Number for MRS. STACEY NICHOLE KROGGEL (O.D.) is 1659579985

Main info

Female
19 Years Of Experience
Name
MRS. STACEY NICHOLE KROGGEL (O.D.)
NPI
1659579985
Phone
(859) 887-2441
Address
104 FAIRFIELD DR
Enumeration Date
9 July 2007
Last Update Date
1 August 2014

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
8598872441
Graduation Year
2007 (19 years ago)
PAC ID
4789775024
Group Practice PAC ID
0749584977
Professional Enrollment ID
I20070801000310
Address ID
KY403568842NI104XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

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Provider Addresses for MRS. STACEY NICHOLE KROGGEL (O.D.)

  • Fairfield Drive, Nicholasville, Jessamine County, Kentucky, 40356, United States

    NICHOLASVILLE, KY 403568842

    Phone: (859) 887-2441

    Fax: (859) 885-3323

    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 11 Open Payments records for all available years, with a total value of $496.

Total Amount is formed as General ($496) + Research ($0) + Ownership ($0) = $496.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($298).

Total Amount

$496

General + Research + Ownership

Payments

11

Total payment records

General Amount

$496

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2007-08-01

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
I20070801000310IOptometryKYTBD

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
92014Established patient complete exam of visual system6361$0
92133Imaging of optic nerve2220$0
92250Photography of the retina1919$0
99213Established patient office or other outpatient visit, 20-29 minutes1913$0
92083Exam of visual field with extended testing1714$0
View full utilization report →

Insurance plans in this area (ZIP 40356)

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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: 0749584977View full group profile
NameSpecialtyState
O P T O M E T R YMN
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY

Reviews

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Frequently asked questions

What NPI should I save for MRS. STACEY NICHOLE KROGGEL (O.D.)?
Save NPI 1659579985 if you need a stable reference for MRS. STACEY NICHOLE KROGGEL (O.D.).
Is MRS. STACEY NICHOLE KROGGEL (O.D.) active in the national directory?
MRS. STACEY NICHOLE KROGGEL (O.D.)'s public NPI profile is in an active state.
Can you summarize MRS. STACEY NICHOLE KROGGEL (O.D.)'s specialty in plain language?
Clinically, the directory lists MRS. STACEY NICHOLE KROGGEL (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. STACEY NICHOLE KROGGEL (O.D.)?
The page summarizes Nicholasville, Kentucky for MRS. STACEY NICHOLE KROGGEL (O.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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