MS. STACY ROGERSON (CRNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1316829500

MS. STACY ROGERSON (CRNP, PMHNP-BC) is a healthcare provider. based in Uniontown, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP, PMHNP-BC. They hold a License No. SP033403 (PA). The NPI Number for MS. STACY ROGERSON (CRNP, PMHNP-BC) is 1316829500

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
MS. STACY ROGERSON (CRNP, PMHNP-BC)
NPI
1316829500
Phone
(724) 880-8809
Address
648 CLARENDON AVE
Enumeration Date
21 July 2025
Last Update Date
4 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7245379515
Graduation Year
2025 (1 year ago)
PAC ID
1951895127
Group Practice PAC ID
4183772858
Professional Enrollment ID
I20251215002183
Address ID
PA156501825LA707XXSTXX300
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MS. STACY ROGERSON (CRNP, PMHNP-BC)

  • 648 CLARENDON AVE

    UNIONTOWN, PA 154014116

    Phone: (724) 880-8809

    Type: Mailing

  • 95 ENTERPRISE ST STE 104

    ELIZABETH, PA 150372070

    Phone: (724) 880-8809

    Type: Location

  • 111 ROBERTS RD STE 150

    GRINDSTONE, PA 154422104

    Phone: (724) 785-4346

    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: 2025-12-15

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
I20251215002183INurse PractitionerPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15401)

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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: 4183772858View full group profile
NameSpecialtyState
Mental Health CounselorPA
P S Y C H I A T R YPA
Mental Health CounselorPA
Mental Health CounselorPA
Nurse PractitionerPA
P S Y C H I A T R YPA
Nurse PractitionerPA
Nurse PractitionerPA
-PA
Nurse PractitionerWV

Reviews

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Frequently asked questions

What number should I use to identify MS. STACY ROGERSON (CRNP, PMHNP-BC) for billing?
Administrative and clinical systems typically use NPI 1316829500 for MS. STACY ROGERSON (CRNP, PMHNP-BC).
Does the public listing show MS. STACY ROGERSON (CRNP, PMHNP-BC) as active?
MS. STACY ROGERSON (CRNP, PMHNP-BC)'s NPI record reflects an active status in NPPES.
What type of care does MS. STACY ROGERSON (CRNP, PMHNP-BC) provide?
MS. STACY ROGERSON (CRNP, PMHNP-BC)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. STACY ROGERSON (CRNP, PMHNP-BC)?
MS. STACY ROGERSON (CRNP, PMHNP-BC) shows a connection to Uniontown, Pennsylvania in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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