KENDRA K STACEY (ARNP) – Family Nurse Practitioner, NPI 1124014790

KENDRA K STACEY (ARNP) is a healthcare provider. based in Lawton, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. R0052337 (OK). The NPI Number for KENDRA K STACEY (ARNP) is 1124014790

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA K STACEY (ARNP)
NPI
1124014790
Phone
(580) 353-6790
Address
102 NW 31ST
Enumeration Date
20 September 2005
Last Update Date
12 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5805692373
Graduation Year
1987 (39 years ago)
PAC ID
7517001555
Group Practice PAC ID
0749192433
Professional Enrollment ID
I20100215000570
Address ID
OK735662031SN823XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for KENDRA K STACEY (ARNP)

  • 102, Northwest 31st Street, Lawton, Comanche County, Oklahoma, 73505, United States

    LAWTON, OK 73505

    Phone: (580) 353-6790

    Fax: (580) 510-7019

    Type: Location

  • PO BOX 785

    LAWTON, OK 73502

    Phone: (580) 357-9984

    Fax: (580) 357-3277

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Novo Nordisk Inc ($37).

Total Amount

$125

General + Research + Ownership

Payments

6

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

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: 2010-02-15

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
I20100215000570INurse PractitionerOKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes284129$0
36415Insertion of needle into vein for collection of blood sample16383$0
99214Established patient office or other outpatient visit, 30-39 minutes10979$0
99212Established patient office or other outpatient visit, 10-19 minutes3224$0
81003Automated urinalysis test3017$0
View full utilization report →

Insurance plans in this area (ZIP 73505)

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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: 0749192433View full group profile
NameSpecialtyState
-MN
Internal MedicineOK
-TX
-OK
-OK
-OK
Internal Medicine, Family Practice, Internal MedicinePA
N E U R O L O G YNC
Certified Nurse Midwife (Cnm)UT
Nurse PractitionerOK

Reviews

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Frequently asked questions

Does KENDRA K STACEY (ARNP) have a public NPI I can cite?
Public records show KENDRA K STACEY (ARNP) under NPI 1124014790.
Quick check: is KENDRA K STACEY (ARNP) active?
Public NPPES data shows KENDRA K STACEY (ARNP) with an active NPI status right now.
How should patients interpret KENDRA K STACEY (ARNP)'s specialty?
The extract shows Family Nurse Practitioner for KENDRA K STACEY (ARNP). Clinical services aligned with this taxonomy classification.
Which community is linked to KENDRA K STACEY (ARNP)?
KENDRA K STACEY (ARNP) shows a connection to Lawton, Oklahoma in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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