MRS. JACKLYN KAY STANLEY APRN, PMHNP-BC
NPI 1073285482
Nurse Practitioner - Psychiatric/Mental Health in Noble, IL
About Mrs. Jacklyn Kay Stanley Aprn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACKLYN KAY STANLEY APRN, PMHNP-BC (NPI 1073285482) is an individual psychiatric/mental health provider in Noble, Illinois, licensed in Illinois (277.005631) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Clay County Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Jacklyn Kay Stanley Aprn, Pmhnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Jacklyn Stanley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Flora, IL 62839
- Reassigned Medicare billing, Illinois enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Clay County Hospital
Critical Access Hospitals · Flora, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NOBLE, IL 62868
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 Jacklyn Stanley's NPI number?
The NPI number for Jacklyn Stanley is 1073285482. It was assigned to this individual provider in the NPPES registry on October 4, 2021. The provider is also known as Katie Stanley Aprn, Pmhnp-Bc.
Where is Jacklyn Stanley located?
Jacklyn Stanley practices at 113 E Walnut St, Noble, IL 62868. The listed phone number is (618) 852-1395.
What is Jacklyn Stanley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jacklyn Stanley enrolled in Medicare?
Yes. Jacklyn Stanley 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.
Which organization bills Medicare for Jacklyn Stanley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacklyn Stanley reassigns Medicare benefits to County Of Clay (Flora, IL). The 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 Jacklyn Stanley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacklyn Stanley accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Jacklyn Stanley 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.
Is Jacklyn Stanley affiliated with any hospitals?
According to CMS data, Jacklyn Stanley is affiliated with Clay County Hospital.
When was this NPI record last updated?
The NPPES record for Jacklyn Stanley was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.
# Mrs. Jacklyn Kay Stanley, APRN, PMHNP-BC · NPI 1073285482
Psychiatric/Mental Health physician in Noble, Illinois. Individual provider, active in the CMS NPPES registry since October 4, 2021.
## Identity
- **NPI:** 1073285482 (Entity type: Individual)
- **Enumerated:** October 4, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 277.005631 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 113 E WALNUT ST, Noble, IL 62868-1709
- **Phone:** (618) 852-1395 · **Fax:** (618) 822-4196
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** County Of Clay (NPI 1811946411, Flora, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073285482) · Data from the CMS NPPES public registry.