Katey Ann Stafford, PMHNP - Medicare Nurse Practitioner in Monett, MO

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Katey Ann Stafford, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Monett, Missouri. Her current practice location is 411 3rd St, Monett, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 476-1000.

Katey Ann Stafford is licensed to practice in Michigan (license number 4704379403) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104483742.

Contact Information

Katey Ann Stafford, PMHNP
411 3rd St,
Monett, MO 65708-2008
(417) 476-1000
(417) 943-5693

Map and Direction




Provider's Profile

Full NameKatey Ann Stafford
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location411 3rd St, Monett, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104483742
  • Provider Enumeration Date: 05/20/2019
  • Last Update Date: 06/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3375879687
  • Enrollment ID: I20190724002806

Medical Identifiers

Medical identifiers for Katey Ann Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104483742NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704379403 (Michigan)Primary

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. Katey Ann Stafford allows following entities to bill medicare on her behalf.
Entity NameBootheel Counseling Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386789139
PECOS PAC ID: 5496725145
Enrollment ID: O20040802000153
Entity NameClark Community Mental Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801807771
PECOS PAC ID: 8527069277
Enrollment ID: O20070123000267

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. Katey Ann Stafford 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
Katey Ann Stafford, PMHNP
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560

Ph: () -		Katey Ann Stafford, PMHNP
411 3rd St,
Monett, MO 65708-2008

Ph: (417) 476-1000

Reviews and Comments


Nurse Practitioner Nurses in Monett, MO

Susan Bounous, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Highway 60, Monett, MO 65708
Phone: 417-354-1580    Fax: 417-354-1585
Deborah Blinzler,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 307 W Benton St, Monett, MO 65708
Phone: 417-236-2410    Fax: 417-236-2425
Hailey Alyse Tettenhorst, DNP, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 307 W Benton St, Monett, MO 65708
Phone: 417-236-2410    Fax: 417-236-2425
Carol J. Russell, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Highway 60, Monett, MO 65708
Phone: 417-354-1500    Fax: 417-354-1585
Vickie Lynn Blevins, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Highway 60, Monett, MO 65708
Phone: 417-354-1120    Fax: 417-354-1128
Kimberly Lucille Black, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 411 3rd St, Monett, MO 65708
Phone: 417-476-1000    Fax: 417-476-1082

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.