DR. STACY ALICE WALDRON (PHD) – Counseling Psychologist, NPI 1295765238

DR. STACY ALICE WALDRON (PHD) is a healthcare provider. based in Lincoln, Nebraska. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 60016697 (NY). The NPI Number for DR. STACY ALICE WALDRON (PHD) is 1295765238

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACY ALICE WALDRON (PHD)
NPI
1295765238
Phone
(402) 481-5991
Address
2300 S 16TH ST
Enumeration Date
4 July 2006
Last Update Date
29 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024751011
Graduation Year
1994 (32 years ago)
PAC ID
6800835307
Group Practice PAC ID
4284628652
Professional Enrollment ID
I20080813000342
Address ID
NE685023704LI2300XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

200 CLINICAL PSYCHOLOGIST in NE

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Provider Addresses for DR. STACY ALICE WALDRON (PHD)

  • 2300, South 16th Street, Lincoln Village, Milwaukee, Milwaukee County, Wisconsin, 53215, United States

    LINCOLN, NE 685023704

    Phone: (402) 481-5991

    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)

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: 2008-08-13

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
I20080813000342IClinical PsychologistNETBD

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
90834Psychotherapy, 45 minutes17513$0
96131Evaluation of psychological test, each additional hour6020$0
90791Psychiatric diagnostic evaluation2323$0
96130Evaluation of psychological test, first hour2020$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 68502)

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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: 4284628652View full group profile
NameSpecialtyState
-NE
Clinical PsychologistNE
Clinical PsychologistNE
Diagnostic RadiologyCO
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyTX
Clinical PsychologistNE
Registered Dietitian Or Nutrition ProfessionalNE
Diagnostic RadiologyMO

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Frequently asked questions

Is DR. STACY ALICE WALDRON (PHD) listed with a National Provider Identifier?
Yes — DR. STACY ALICE WALDRON (PHD) has NPI 1295765238 on file in the registry.
Would DR. STACY ALICE WALDRON (PHD) appear as active to a payer?
You can treat DR. STACY ALICE WALDRON (PHD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. STACY ALICE WALDRON (PHD)?
DR. STACY ALICE WALDRON (PHD) is associated with Counseling Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. STACY ALICE WALDRON (PHD) associated with Lincoln?
Public fields place DR. STACY ALICE WALDRON (PHD) around Lincoln, Nebraska. Always confirm the exact site before visiting.
Does DR. STACY ALICE WALDRON (PHD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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