Stacey M Anderson, APRN - Medicare Nurse Practitioner in Lexington, KY

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Stacey M Anderson, APRN is a medicare enrolled "Nurse Practitioner" in Lexington, Kentucky. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Clark Regional Physician Practices Llc and her current practice location is 1225 S Broadway Ste 201, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 258-4950.

Stacey M Anderson is licensed to practice in Kentucky (license number 3009247) 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 1013300896.

Contact Information

Stacey M Anderson, APRN
1225 S Broadway Ste 201,
Lexington, KY 40504-2701
(859) 258-4950
(859) 258-4618

Map and Direction




Provider's Profile

Full NameStacey M Anderson
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location1225 S Broadway Ste 201, Lexington, Kentucky
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:
  • Stacey M Anderson graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1013300896
  • Provider Enumeration Date: 03/18/2015
  • Last Update Date: 12/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6800115916
  • Enrollment ID: I20150511002525

Medical Identifiers

Medical identifiers for Stacey M Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013300896NPI-NPPES
7100351200MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3009247 (Kentucky)Secondary
363L00000XNurse Practitioner 3009247 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Clark Regional Medical CenterWinchester, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clark Regional Physician Practices Llc973933756938

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. Stacey M Anderson allows following entities to bill medicare on her behalf.
Entity NameMeadowview Physician Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760893275
PECOS PAC ID: 9032276274
Enrollment ID: O20090316000259
Entity NameClark Regional Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780356253
PECOS PAC ID: 9739337569
Enrollment ID: O20120919000575
Entity NameBourbon Physician Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356689079
PECOS PAC ID: 8729226097
Enrollment ID: O20130528000124

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. Stacey M Anderson 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
Stacey M Anderson, APRN
1221 S Broadway,
Lexington, KY 40504-2701

Ph: (859) 258-6200		Stacey M Anderson, APRN
1225 S Broadway Ste 201,
Lexington, KY 40504-2701

Ph: (859) 258-4950

Reviews and Comments


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Phone: 859-277-3114    Fax: 859-277-0498

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.