STACEY MICHELLE MCROBERTS (CNP) – Critical Care Medicine Nurse Practitioner, NPI 1134744378

STACEY MICHELLE MCROBERTS (CNP) is a healthcare provider. based in Englewood, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. CNP0026850 (OH). The NPI Number for STACEY MICHELLE MCROBERTS (CNP) is 1134744378

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
STACEY MICHELLE MCROBERTS (CNP)
NPI
1134744378
Phone
(937) 991-3188
Address
9000 N MAIN ST
Enumeration Date
13 June 2020
Last Update Date
21 January 2026

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
9374383132
Graduation Year
2020 (6 years ago)
PAC ID
7810319308
Group Practice PAC ID
1850380601
Professional Enrollment ID
I20200630001753
Address ID
OH454594094DA7700XDRXX405

Contacts

FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Secure Messaging
scallison657140@direct.ketteringhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness95
Years active:5State licenses:1Other names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for STACEY MICHELLE MCROBERTS (CNP)

  • 9000 N MAIN ST

    ENGLEWOOD, OH 454151180

    Phone: (937) 991-3188

    Type: Location

  • 2325 SPRINGMILL RD

    KETTERING, OH 454402503

    Phone: (937) 344-9594

    Type: Mailing

  • 630 W MAIN ST STE 209

    WILMINGTON, OH 451772181

    Phone: (937) 383-2700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2023-11-20 • Largest payer in this snapshot: KCI USA, Inc. ($32).

Total Amount

$51

General + Research + Ownership

Payments

2

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-20

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: 2020-06-30

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
I20200630001753INurse PractitionerOHTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes3328$0
99213Established patient office or other outpatient visit, 20-29 minutes1716$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 45415)

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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: 1850380601View full group profile

Reviews

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Frequently asked questions

Is there an official ID for STACEY MICHELLE MCROBERTS (CNP) in U.S. healthcare records?
The official identifier for STACEY MICHELLE MCROBERTS (CNP) is NPI 1134744378.
Active or inactive — what applies to STACEY MICHELLE MCROBERTS (CNP)?
You should see STACEY MICHELLE MCROBERTS (CNP) as active in CMS-hosted NPPES data.
What area of care is associated with STACEY MICHELLE MCROBERTS (CNP)?
STACEY MICHELLE MCROBERTS (CNP)'s record emphasizes Critical Care Medicine Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for STACEY MICHELLE MCROBERTS (CNP)?
Travel planning: use Englewood, Ohio as the reference point for STACEY MICHELLE MCROBERTS (CNP), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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