Stacy Graham, - Medicare Nurse Practitioner in Maumelle, AR

Stacy Graham, is a medicare enrolled "Nurse Practitioner - Family" in Maumelle, Arkansas. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Benny J Green Md Pa and her current practice location is 17 Saint Thomas Dr, Maumelle, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 912-2362.

Stacy Graham is licensed to practice in Arkansas (license number A004680) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245699024.

Contact Information

Stacy Graham,
17 Saint Thomas Dr,
Maumelle, AR 72113-7003
(501) 912-2362
Not Available

Map and Direction




Provider's Profile

Full NameStacy Graham
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location17 Saint Thomas Dr, Maumelle, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacy Graham graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1245699024
  • Provider Enumeration Date: 02/22/2016
  • Last Update Date: 02/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4789975442
  • Enrollment ID: I20160628000732

Medical Identifiers

Medical identifiers for Stacy Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245699024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A004680 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center-little RockLittle rock, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Benny J Green Md Pa86280215082

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacy Graham allows following entities to bill medicare on her behalf.
Entity NameBenny J Green Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043246168
PECOS PAC ID: 8628021508
Enrollment ID: O20050303000141

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Graham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacy Graham,
17 Saint Thomas Dr,
Maumelle, AR 72113-7003

Ph: (501) 912-2362
Stacy Graham,
17 Saint Thomas Dr,
Maumelle, AR 72113-7003

Ph: (501) 912-2362

Reviews and Comments


Nurse Practitioner Nurses in Maumelle, AR

Mrs. Rachael Constance Curtis, APRN-CNP, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1701 Club Manor Dr Ste 2, Maumelle, AR 72113
Phone: 501-851-7400    
Jarlisa Mickey, RN, A-GPCNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Emerald Dr, Maumelle, AR 72113
Phone: 501-944-5253    
Laura Farley, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1701 Club Manor Dr Ste 2, Maumelle, AR 72113
Phone: 501-851-7400    Fax: 501-851-4753
Mrs. Mary Ann Garnica, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 22 Ouachita Dr, Maumelle, AR 72113
Phone: 918-978-9555    
Laura Nicole Stallings, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2001 Club Manor Dr Ste S, Maumelle, AR 72113
Phone: 501-734-8085    Fax: 501-734-8088
Toronsa Mechel Simpson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 19 Prince Dr, Maumelle, AR 72113
Phone: 501-319-4717    
Mrs. Elizabeth Ann Kirk, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8060 Counts Massie Rd Integrated Care Professionals, Maumelle, AR 72113
Phone: 479-968-8279    Fax: 479-250-0500

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.