MS. STACEY GREGORY (APRN) – Nurse Practitioner, NPI 1649531112
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for MS. STACEY GREGORY (APRN)
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (702) 579-3203
Fax: (702) 838-1456
Type: Mailing
3915 RIVER RD
EUGENE, OR 974041230
Phone: (541) 688-9140
Type: Location
1935 MAIN ST
#102
WAILUKU, HI 967931784
Phone: (808) 442-3245
Fax: (808) 829-3594
Type: Mailing
81 MAKAWAO AVE STE 100
MAKAWAO, HI 967688859
Phone: (808) 573-8900
Fax: (808) 573-7505
Type: Location
1338 COMMERCE AVE STE 206
LONGVIEW, WA 986323726
Phone: (360) 560-3801
Type: Mailing
1718 E KESSLER BLVD
LONGVIEW, WA 986321842
Phone: (360) 747-5800
Fax: (360) 575-3846
Type: Location
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: 2025-10-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20161130000618 | I | Nurse Practitioner | HI | TBD |
| I20251007003465 | I | Nurse Practitioner | OR | 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 89133)
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