STACY L BLACKINGTON (AU.D.) – Audiologist, NPI 1710069745

STACY L BLACKINGTON (AU.D.) is a healthcare provider. based in Springfield, Missouri. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 2002019898 (MO). The NPI Number for STACY L BLACKINGTON (AU.D.) is 1710069745

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
STACY L BLACKINGTON (AU.D.)
NPI
1710069745
Phone
(417) 875-3600
Address
960 E WALNUT LAWN ST
Enumeration Date
19 October 2006
Last Update Date
30 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
5991705220
Group Practice PAC ID
8628092897
Professional Enrollment ID
I20070110000127
Address ID
MO658075155SP1001XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

230 QUALIFIED AUDIOLOGIST in MO

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Provider Addresses for STACY L BLACKINGTON (AU.D.)

  • 960, East Walnut Lawn Street, Springfield, Greene County, Missouri, 65807, United States

    SPRINGFIELD, MO 658077506

    Phone: (417) 875-3600

    Type: Location

  • 1001 E PRIMROSE ST

    SPRINGFIELD, MO 658075155

    Phone: (417) 875-3600

    Type: Location

  • 1001, East Primrose Street, Springfield, Greene County, Missouri, 65807, United States

    SPRINGFIELD, MO 658075155

    Phone: (417) 875-3000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-01-10

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
I20070110000127IQualified AudiologistMOTBD

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
92557Comprehensive hearing and speech recognition test164162$0
92567Test to assess middle ear function163160$0
View full utilization report →

Insurance plans in this area (ZIP 65807)

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Provider's Procedures

STACY L BLACKINGTON (AU.D.) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTMO92567Eardrum testing using ear probe145140

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: 8628092897View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YIL
-NC
Nurse PractitionerMO
Physician AssistantMO
Nurse PractitionerMO
General SurgeryMO
O T O L A R Y N G O L O G YWA
N E P H R O L O G YMO
Physician AssistantMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

How do I look up STACY L BLACKINGTON (AU.D.) by NPI?
Use NPI 1710069745 when you need to reference STACY L BLACKINGTON (AU.D.) in forms, claims, or directories.
Is STACY L BLACKINGTON (AU.D.) currently active in the NPI registry?
CMS-published data lists STACY L BLACKINGTON (AU.D.) as an active registrant.
What kind of provider is STACY L BLACKINGTON (AU.D.)?
The page reflects Audiologist for STACY L BLACKINGTON (AU.D.). Clinical services aligned with this taxonomy classification.
Where is STACY L BLACKINGTON (AU.D.)'s primary listing?
We display Springfield, Missouri because that is what the record indicates for STACY L BLACKINGTON (AU.D.).
How can I contact STACY L BLACKINGTON (AU.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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