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STACEY FAVRE RENNER APRN
NPI 1043633985
Nurse Practitioner - Family in Bonaire, GA

Active since January 29, 2014PECOS Enrolled
127 OLD HIGHWAY 96 STE B, BONAIRE, GA 31005(478) 352-7143(478) 352-7144 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 3, 2026, Aug 15, 2025 (2 updates tracked since 2025).

About Stacey Favre Renner Aprn NPPES

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

STACEY FAVRE RENNER APRN (NPI 1043633985) is an individual family provider in Bonaire, Georgia, licensed in Georgia (RN170160) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043633985
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY FAVRE RENNERCredential: APRN
Location Address127 OLD HIGHWAY 96 STE BBonaire, GA 31005-3461
Mailing Address4300 N Point Pkwy Ste 300Alpharetta, GA 30022-4102
Phone(478) 352-7143
Fax(478) 352-7144
Sole ProprietorNo
Enumeration DateJanuary 29, 2014
Last NPPES UpdateApril 3, 20262 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1043633985 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 GA · RN170160
127 OLD HIGHWAY 96 STE B, Bonaire, GA 31005
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Favre Renner Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Stacey Renner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Privia Medical Group Of Georgia LLC
81 mi
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
NPI 1013313857 (770) 460-4285
Southeast Medical Group, P.C.
111 mi
Family Medicine
3905 BROOKSIDE PKWY STE 300
Alpharetta, GA 30022
  • Reassigned Medicare billing, Georgia enrollment
  • 240 clinicians in this Medicare group
NPI 1235296054 (770) 442-1911
Minuteclinic LLC
575 mi
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, Georgia enrollment
  • 350 clinicians in this Medicare group
NPI 1134191836 (866) 389-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31005 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 4

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

JENNA WALTON FNP-C
Nurse Practitioner
127 OLD HIGHWAY 96 STE B
BONAIRE, GA 31005
Houston County (478) 352-7143
SHELBY GILES
Nurse Practitioner (Gerontology)
127 OLD HIGHWAY 96 STE B
BONAIRE, GA 31005
Houston County (478) 352-7143
CHRISTY ANN GONZALEZ NP
Nurse Practitioner (Family)
127 OLD HIGHWAY 96 STE B
BONAIRE, GA 31005
Houston County (478) 352-7143
DR. MICHAEL J RENNER M.D.
Family Medicine
127 OLD HIGHWAY 96 STE B
BONAIRE, GA 31005
Houston County (478) 352-7143

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 Renner's NPI number?

The NPI number for Stacey Renner is 1043633985. It was assigned to this individual provider in the NPPES registry on January 29, 2014.

Where is Stacey Renner located?

Stacey Renner practices at 127 Old Highway 96 Ste B, Bonaire, GA 31005. The listed phone number is (478) 352-7143.

What is Stacey Renner's specialty?

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

Is Stacey Renner enrolled in Medicare?

Yes. Stacey Renner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacey Renner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Renner reassigns Medicare benefits to 3 organizations: Privia Medical Group Of Georgia LLC (Fayetteville, GA), Southeast Medical Group, P.C. (Alpharetta, GA) and Minuteclinic LLC (Rockville, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Renner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Renner accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health list Stacey Renner 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 Stacey Renner was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.