STACIE ROSE (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1871194381
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for STACIE ROSE (PMHNP)
131 HARTWELL AVE
LEXINGTON, MA 024213105
Phone:
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 93 Open Payments records for all available years, with a total value of $2,143.
Total Amount is formed as General ($2,143) + Research ($0) + Ownership ($0) = $2,143.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($407).
Total Amount
$2,143
General + Research + Ownership
Payments
93
Total payment records
General Amount
$2,143
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $407 |
| Otsuka America Pharmaceutical, Inc. | $358 |
| Takeda Pharmaceuticals U.S.A., Inc. | $200 |
| Alkermes, Inc. | $137 |
| ITI, Inc. | $116 |
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: 2022-07-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220705000537 | I | Nurse Practitioner | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 21 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 16 | 16 | $0 |
Insurance plans in this area (ZIP 02421)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MA | |
| Nurse Practitioner | MA | |
| Clinical Psychologist | MA | |
| Mental Health Counselor | MA | |
| - | MA | |
| P S Y C H I A T R Y | MA | |
| Clinical Psychologist | MA | |
| Clinical Social Worker | MA | |
| Mental Health Counselor | MA | |
| Nurse Practitioner | MA |
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