STACY LATHAM (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1457998809
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for STACY LATHAM (APRN, PMHNP-BC)
1008 N MAIN ST
SIKESTON, MO 638015044
Phone: (573) 472-7490
Fax: (573) 472-7521
Type: Mailing
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 639013318
Phone: (573) 686-4151
Fax: (573) 472-7521
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $1,814.
Total Amount is formed as General ($1,814) + Research ($0) + Ownership ($0) = $1,814.
Last reported payment date: 2023-11-29 • Largest payer in this snapshot: ABBVIE INC. ($347).
Total Amount
$1,814
General + Research + Ownership
Payments
78
Total payment records
General Amount
$1,814
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $347 |
| Otsuka America Pharmaceutical, Inc. | $297 |
| Alkermes, Inc. | $276 |
| Janssen Pharmaceuticals, Inc | $271 |
| ITI, Inc. | $207 |
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: 2020-06-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200618000207 | I | Nurse Practitioner | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | FL | |
| Cardiovascular Disease (Cardiology) | MO | |
| - | MO | |
| Family Practice, Undersea And Hyperbaric Medicine | TX | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | MO | |
| P S Y C H I A T R Y | TX | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO |
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