STACIE RAY (M.S. CCC-A) – Audiologist, NPI 1417910225

STACIE RAY (M.S. CCC-A) is a healthcare provider. based in Lincoln, Nebraska. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials M.S. CCC-A. They hold a License No. 220 (NE). The NPI Number for STACIE RAY (M.S. CCC-A) is 1417910225

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
STACIE RAY (M.S. CCC-A)
NPI
1417910225
Phone
Not provided
Address
253 BARKLEY MEMORIAL CENTER
Enumeration Date
11 April 2006
Last Update Date
11 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024722071
Graduation Year
2009 (17 years ago)
PAC ID
1052388816
Group Practice PAC ID
3971564279
Professional Enrollment ID
I20040913000526
Address ID
NE685831530LI4075XSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

98 QUALIFIED AUDIOLOGIST in NE

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Provider Addresses for STACIE RAY (M.S. CCC-A)

  • Barkley Memorial Center, East Campus Loop, East Campus, University Place, Lincoln, Lancaster County, Nebraska, 68583-0997, United States

    LINCOLN, NE 685830731

    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)

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: 2004-09-13

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
I20040913000526IQualified AudiologistNETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68583)

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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: 3971564279View full group profile
NameSpecialtyState
Medical Genetics And GenomicsNE
Physical Therapist In Private PracticeMA
Clinical PsychologistNE
Qualified AudiologistNE
Qualified Speech Language PathologistNE
Physical Therapist In Private PracticeNE
Clinical PsychologistNE
-NE
Qualified Speech Language PathologistNE
Occupational Therapist In Private PracticeNE

Reviews

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Frequently asked questions

What is STACIE RAY (M.S. CCC-A)'s NPI number?
STACIE RAY (M.S. CCC-A)'s NPI is 1417910225 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to STACIE RAY (M.S. CCC-A)?
You should see STACIE RAY (M.S. CCC-A) as active in CMS-hosted NPPES data.
What clinical focus is listed for STACIE RAY (M.S. CCC-A)?
At a glance, STACIE RAY (M.S. CCC-A) is tied to Audiologist. Clinical services aligned with this taxonomy classification.
Is STACIE RAY (M.S. CCC-A) associated with Lincoln?
Public fields place STACIE RAY (M.S. CCC-A) around Lincoln, Nebraska. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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