STACY GOODYEAR (FNP-C) – Family Nurse Practitioner, NPI 1285258889

STACY GOODYEAR (FNP-C) is a healthcare provider. based in Youngstown, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. RN.342160 (OH). The NPI Number for STACY GOODYEAR (FNP-C) is 1285258889

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
STACY GOODYEAR (FNP-C)
NPI
1285258889
Phone
(330) 307-8973
Address
8401 MARKET ST
Enumeration Date
31 May 2020
Last Update Date
11 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4402856000
Graduation Year
2020 (6 years ago)
PAC ID
4284024886
Group Practice PAC ID
6608978572
Professional Enrollment ID
I20211213002606
Address ID
OH440247032CH13207RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for STACY GOODYEAR (FNP-C)

  • 8401 MARKET ST

    YOUNGSTOWN, OH 445126725

    Phone: (330) 307-8973

    Type: Location

  • 1721 COITSVILLE HUBBARD RD

    YOUNGSTOWN, OH 445054452

    Phone: (330) 307-8973

    Type: Mailing

  • 1331 YOUNGSTOWN WARREN RD

    NILES, OH 444464616

    Phone: (866) 389-2727

    Type: Mailing

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: 2021-12-13

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
I20211213002606INurse 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
99203New patient office or other outpatient visit, 30-44 minutes1919$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 44512)

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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: 6608978572View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm STACY GOODYEAR (FNP-C)'s NPI?
Yes. STACY GOODYEAR (FNP-C) is listed with NPI 1285258889 in the public NPI dataset.
Can I rely on STACY GOODYEAR (FNP-C) being an active provider?
As of the registry snapshot, STACY GOODYEAR (FNP-C) is marked active.
What is STACY GOODYEAR (FNP-C)'s primary classification?
Family Nurse Practitioner is the headline specialty for STACY GOODYEAR (FNP-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for STACY GOODYEAR (FNP-C)?
STACY GOODYEAR (FNP-C)'s geographic hint is Youngstown, Ohio in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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