STACY LAINE GREGORY (ACNP) – Acute Care Nurse Practitioner, NPI 1528483591

STACY LAINE GREGORY (ACNP) is a healthcare provider. based in Jacksonville, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. 601016 (TX). The NPI Number for STACY LAINE GREGORY (ACNP) is 1528483591

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
STACY LAINE GREGORY (ACNP)
NPI
1528483591
Phone
(903) 541-4500
Address
2026 S Jackson St
Enumeration Date
26 February 2014
Last Update Date
24 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035938441
Graduation Year
2016 (10 years ago)
PAC ID
8628292612
Group Practice PAC ID
8527420306
Professional Enrollment ID
I20140613000156
Address ID
TX757012036TY800XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for STACY LAINE GREGORY (ACNP)

  • 2026 S Jackson St

    Jacksonville, TX 757665822

    Phone: (903) 541-4500

    Type: Location

  • 800 E Dawson St

    Tyler, TX 757012036

    Phone: (903) 606-4262

    Type: Location

  • 8389 S Broadway Ave

    Tyler, TX 757035408

    Phone: (903) 606-6500

    Type: Location

  • 13261 S HILLCREEK RD

    WHITEHOUSE, TX 757915215

    Phone: (903) 571-8545

    Type: Mailing

  • 1809 CAPITAL DR

    TYLER, TX 757018438

    Phone: (903) 509-4499

    Fax: (903) 509-4490

    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 $228.

Total Amount is formed as General ($228) + Research ($0) + Ownership ($0) = $228.

Last reported payment date: 2023-11-14 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($125).

Total Amount

$228

General + Research + Ownership

Payments

2

Total payment records

General Amount

$228

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-14

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: 2022-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140613000156INurse PractitionerTXTBD
I20220907003346INurse PractitionerLATBD

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
99284Emergency department visit with moderate level of medical decision making2222$0
99283Emergency department visit with low level of medical decision making1717$0
View full utilization report →

Insurance plans in this area (ZIP 75766)

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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: 8527420306View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineMD
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineDE
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX

Reviews

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Frequently asked questions

What is the standard ID for STACY LAINE GREGORY (ACNP) in the U.S.?
In the U.S., STACY LAINE GREGORY (ACNP) is identified by NPI 1528483591.
Quick check: is STACY LAINE GREGORY (ACNP) active?
Public NPPES data shows STACY LAINE GREGORY (ACNP) with an active NPI status right now.
What does the directory say STACY LAINE GREGORY (ACNP) does?
Insurance directories may phrase it differently, but here STACY LAINE GREGORY (ACNP) maps to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is STACY LAINE GREGORY (ACNP) tied to Jacksonville, Texas?
If you are local to Jacksonville, Texas, STACY LAINE GREGORY (ACNP) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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