MRS. STEPHANIE MARIE SUMNER APRN, FNP-C
NPI 1013550060
Nurse Practitioner - Family in London, KY

Active since October 22, 2019PECOS EnrolledAccepts Medicare Assignment
87.53/100
CMS Quality Rating
100 LONDON MOUNTAIN VIEW DR FL 1, LONDON, KY 40741(859) 275-5229(859) 977-2683 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2022, May 19, 2021, Dec 13, 2019 and 2 more (5 updates tracked since 2019).

About Mrs. Stephanie Marie Sumner Aprn, Fnp-c NPPES

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

MRS. STEPHANIE MARIE SUMNER APRN, FNP-C (NPI 1013550060) is an individual family provider in London, Kentucky, licensed in Kentucky (3013971) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013550060
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. STEPHANIE MARIE SUMNERCredential: APRN, FNP-C
Location Address100 LONDON MOUNTAIN VIEW DR FL 1London, KY 40741-6668
Mailing AddressPo Box 21890Belfast, ME 04915-4115 · (502) 907-0356 · Fax (502) 919-9780
Fax(859) 977-2683
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 22, 2019
Last NPPES UpdateJune 9, 20225 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
NPI 1013550060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3013971
100 LONDON MOUNTAIN VIEW DR FL 1, London, KY 40741

Other Identifiers 1

Medicaid7100635060KY

Accepted Insurance

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

Mrs. Stephanie Marie Sumner Aprn, Fnp-c 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 ID6608200522
PECOS Enrollment IDI20200102000331
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40741 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.58
Promoting Interoperability100
Improvement Activities40
Cost68.08

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Physical Medicine & Rehabilitation (Pain Medicine)
100 LONDON MOUNTAIN VIEW DR FL 1
LONDON, KY 40741
Nurse Practitioner (Family)
100 LONDON MOUNTAIN VIEW DR FL 1
LONDON, KY 40741
Durable Medical Equipment & Medical Supplies
100 LONDON MOUNTAIN VIEW DR FL 1
LONDON, KY 40741
Nurse Practitioner
100 LONDON MOUNTAIN VIEW DR FL 1
LONDON, KY 40741
Nurse Practitioner
100 LONDON MOUNTAIN VIEW DR FL 1
LONDON, KY 40741
Non-Pharmacy Dispensing Site
100 LONDON MOUNTAIN VIEW DR FL 1
LONDON, KY 40741
Nurse Practitioner (Family)
100 LONDON MOUNTAIN VIEW DR FL 1
LONDON, KY 40741
Nurse Practitioner (Family)
100 LONDON MOUNTAIN VIEW DR FL 1
LONDON, KY 40741

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 Stephanie Sumner's NPI number?

The NPI number for Stephanie Sumner is 1013550060. It was assigned to this individual provider in the NPPES registry on October 22, 2019.

Where is Stephanie Sumner located?

Stephanie Sumner practices at 100 London Mountain View Dr Fl 1, London, KY 40741. The listed phone number is (859) 275-5229.

What is Stephanie Sumner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephanie Sumner enrolled in Medicare?

Yes. Stephanie Sumner 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.

What insurance does Stephanie Sumner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Stephanie Sumner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Sumner was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.