STACI STOUGH (FNP) – Family Nurse Practitioner, NPI 1114396322

STACI STOUGH (FNP) is a healthcare provider. based in Greenville, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. AP128937 (TX). The NPI Number for STACI STOUGH (FNP) is 1114396322

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
STACI STOUGH (FNP)
NPI
1114396322
Phone
(903) 454-3025
Address
PO BOX 1908
Enumeration Date
17 September 2015
Last Update Date
17 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9033950586
Graduation Year
2015 (11 years ago)
PAC ID
8224338355
Group Practice PAC ID
6305735150
Professional Enrollment ID
I20151123000183
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for STACI STOUGH (FNP)

  • PO BOX 1908

    GREENVILLE, TX 754031908

    Phone: (903) 454-3025

    Fax: (903) 450-1408

    Type: Mailing

  • 111 N JOHNSON ST

    FARMERSVILLE, TX 754422103

    Phone: (972) 782-6131

    Fax: (972) 782-7263

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-03-28 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SANOFI PASTEUR INC.$34
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: 2015-11-23

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
I20151123000183INurse PractitionerTXTBD

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 75403)

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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: 6305735150View full group profile
NameSpecialtyState
Physician AssistantTX
-TX
Pediatric MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Family PracticeAL
Physician AssistantTX

Reviews

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Frequently asked questions

Is there an official ID for STACI STOUGH (FNP) in U.S. healthcare records?
The official identifier for STACI STOUGH (FNP) is NPI 1114396322.
Is there an active status for STACI STOUGH (FNP)?
For scheduling context, STACI STOUGH (FNP) is shown as active in the registry.
What kind of doctor is STACI STOUGH (FNP)?
STACI STOUGH (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is STACI STOUGH (FNP) located near Greenville?
STACI STOUGH (FNP) currently maps to Greenville, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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