STACIE D DETMER (FNP) – Family Nurse Practitioner, NPI 1235380064

STACIE D DETMER (FNP) is a healthcare provider. based in Saint louis, Missouri. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 2005018747 (MO). The NPI Number for STACIE D DETMER (FNP) is 1235380064

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
STACIE D DETMER (FNP)
NPI
1235380064
Phone
(314) 851-1000
Address
PO BOX 23340
Enumeration Date
10 October 2008
Last Update Date
21 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3144671500
Graduation Year
2008 (18 years ago)
PAC ID
6608934310
Group Practice PAC ID
1658365572
Professional Enrollment ID
I20081024000357
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for STACIE D DETMER (FNP)

  • PO BOX 23340

    SAINT LOUIS, MO 631563340

    Phone: (314) 851-1000

    Fax: (314) 851-4445

    Type: Mailing

  • Bowles Avenue, Fenton, Saint Louis County, Missouri, 63026, United States

    FENTON, MO 630260562

    Phone: (314) 467-1500

    Fax: (314) 467-1515

    Type: Location

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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-02-04 • Largest payer in this snapshot: ABBVIE INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$15
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 63156)

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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: 1658365572View full group profile
NameSpecialtyState
Internal MedicineMO
Family Practice, Geriatric MedicineMO
-MO
Internal MedicineMO
Physician AssistantMO
-MO
Nurse PractitionerMO
Internal MedicineMO
-MO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What identifier follows STACIE D DETMER (FNP) across health systems?
The NPI 1235380064 uniquely identifies STACIE D DETMER (FNP) in U.S. healthcare data.
Does the public listing show STACIE D DETMER (FNP) as active?
STACIE D DETMER (FNP)'s NPI record reflects an active status in NPPES.
What services align with STACIE D DETMER (FNP)'s listing?
STACIE D DETMER (FNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to STACIE D DETMER (FNP)?
STACIE D DETMER (FNP) shows a connection to Saint Louis, Missouri in registry-derived data.
Why is information missing for STACIE D DETMER (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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