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CAMERON HEATH STACY
NPI 1053054635
Student in an Organized Health Care Education/Training Program in Louisville, KY

Active since April 20, 2022PECOS Enrolled
941 CHARLES ST, LOUISVILLE, KY 40204(502) 572-8839 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cameron Heath Stacy NPPES

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

CAMERON HEATH STACY (NPI 1053054635) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053054635
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCAMERON HEATH STACY
Location Address941 CHARLES STLouisville, KY 40204-2403
Mailing Address941 Charles StLouisville, KY 40204-2403
Phone(502) 572-8839
Sole ProprietorNo
Enumeration DateApril 20, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1053054635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
941 CHARLES ST, Louisville, KY 40204
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cameron Heath Stacy 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.

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 Cameron Stacy's NPI number?

The NPI number for Cameron Stacy is 1053054635. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Cameron Stacy located?

Cameron Stacy practices at 941 Charles St, Louisville, KY 40204. The listed phone number is (502) 572-8839.

What is Cameron Stacy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cameron Stacy enrolled in Medicare?

Yes. Cameron Stacy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cameron Stacy was last updated on April 20, 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.