STACEY J LYTHGOE (APRN) – Nurse Practitioner, NPI 1609502921

STACEY J LYTHGOE (APRN) is a healthcare provider. based in Henderson, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 852457 (NV). The NPI Number for STACEY J LYTHGOE (APRN) is 1609502921

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
STACEY J LYTHGOE (APRN)
NPI
1609502921
Phone
(702) 952-3444
Address
10001 S Eastern Ave Ste 108
Enumeration Date
28 July 2022
Last Update Date
14 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7022587788
Graduation Year
2021 (5 years ago)
PAC ID
7517340276
Group Practice PAC ID
2668840174
Professional Enrollment ID
I20220813000752
Address ID
NV891485013LA8930XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for STACEY J LYTHGOE (APRN)

  • 10001 S Eastern Ave Ste 108

    Henderson, NV 890523908

    Phone: (702) 952-3444

    Fax: (702) 952-3494

    Type: Location

  • 400 N STEPHANIE ST STE 300

    HENDERSON, NV 890146692

    Phone: (702) 952-3350

    Fax: (702) 952-3364

    Type: Mailing

  • 2460 W HORIZON RIDGE PKWY

    HENDERSON, NV 890522648

    Phone: (702) 822-2000

    Fax: (702) 938-2232

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 142 Open Payments records for all available years, with a total value of $3,275.

Total Amount is formed as General ($3,275) + Research ($0) + Ownership ($0) = $3,275.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($310).

Total Amount

$3,275

General + Research + Ownership

Payments

142

Total payment records

General Amount

$3,275

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-13

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
I20220813000752INurse PractitionerNVTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes501351$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count15599$0
80053Blood test, comprehensive group of blood chemicals13494$0
36415Insertion of needle into vein for collection of blood sample13399$0
99213Established patient office or other outpatient visit, 20-29 minutes8579$0
View full utilization report →

Insurance plans in this area (ZIP 89052)

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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: 2668840174View full group profile
NameSpecialtyState
General SurgeryNV
Vascular SurgeryNV
Vascular SurgeryNY
Vascular SurgeryNV
General SurgeryNV
Physician AssistantNV
General SurgeryNV
General Surgery, Thoracic Surgery, Vascular SurgeryNV
Physician AssistantNV
General SurgeryNV

Reviews

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Frequently asked questions

Is there an official ID for STACEY J LYTHGOE (APRN) in U.S. healthcare records?
The official identifier for STACEY J LYTHGOE (APRN) is NPI 1609502921.
Is there an active status for STACEY J LYTHGOE (APRN)?
For scheduling context, STACEY J LYTHGOE (APRN) is shown as active in the registry.
How would a patient describe STACEY J LYTHGOE (APRN)'s focus?
For STACEY J LYTHGOE (APRN), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Nevada is STACEY J LYTHGOE (APRN) registered?
Use Henderson, Nevada as the headline location for STACEY J LYTHGOE (APRN) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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