STACEY M ANDERSON APRN
NPI 1013300896
Nurse Practitioner in Lexington, KY

Active since March 18, 2015PECOS EnrolledAccepts Medicare Assignment
1225 S BROADWAY STE 201, LEXINGTON, KY 40504(859) 258-4950(859) 258-4618 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2024, Jul 21, 2022, Jun 12, 2017 and 2 more (5 updates tracked since 2015).

About Stacey M Anderson Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY M ANDERSON APRN (NPI 1013300896) is an individual nurse practitioner in Lexington, Kentucky, licensed in Kentucky (3009247) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Clark Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1013300896
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACEY M ANDERSONCredential: APRN
Location Address1225 S BROADWAY STE 201Lexington, KY 40504-2701
Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203
Fax(859) 258-4618
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 18, 2015
Last NPPES UpdateDecember 2, 20245 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
NPI 1013300896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KY · 3009247
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3009247 (KY)
1225 S BROADWAY STE 201, Lexington, KY 40504

Other Names 1

Former Name (1)Stacey Muir Wilson

Other Identifiers 1

Medicaid7100351200KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stacey M Anderson Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800115916
PECOS Enrollment IDI20150511002525
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
111 services70 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
53 services53 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180092
Location175 Hospital DriveWinchester, KY 40391 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
1225 S BROADWAY STE 201
LEXINGTON, KY 40504
Internal Medicine (Pulmonary Disease)
1225 S BROADWAY STE 201
LEXINGTON, KY 40504
Physician Assistant
1225 S BROADWAY STE 201
LEXINGTON, KY 40504
Physician Assistant
1225 S BROADWAY STE 201
LEXINGTON, KY 40504
Internal Medicine (Pulmonary Disease)
1225 S BROADWAY STE 201
LEXINGTON, KY 40504
Internal Medicine (Pulmonary Disease)
1225 S BROADWAY STE 201
LEXINGTON, KY 40504
Internal Medicine (Pulmonary Disease)
1225 S BROADWAY STE 201
LEXINGTON, KY 40504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Anderson's NPI number?

The NPI number for Stacey Anderson is 1013300896. It was assigned to this individual provider in the NPPES registry on March 18, 2015. The provider is also known as Stacey Muir Wilson.

Where is Stacey Anderson located?

Stacey Anderson practices at 1225 S Broadway Ste 201, Lexington, KY 40504. The listed phone number is (859) 258-4950.

What is Stacey Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stacey Anderson enrolled in Medicare?

Yes. Stacey Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Stacey Anderson affiliated with any hospitals?

According to CMS data, Stacey Anderson is affiliated with Clark Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Stacey Anderson was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.