STACY LEE EDGAR FNP-C
NPI 1083388359
Nurse Practitioner - Family in Poplar Bluff, MO
About Stacy Lee Edgar Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY LEE EDGAR FNP-C (NPI 1083388359) is an individual family provider in Poplar Bluff, Missouri, licensed in Missouri (2021026192) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Missouri Delta Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Stacy Lee Edgar 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.
Medicare Billing Reassignment
Medicare enrollment records show Stacy Edgar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Poplar Bluff, MO 63901
- Reassigned Medicare billing, Missouri enrollment
- 89 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Missouri Delta Medical Center
Acute Care Hospitals · Sikeston, MOPoplar Bluff Regional Medical Center
Acute Care Hospitals · Poplar Bluff, MOMercy Hospital Stoddard
Acute Care Hospitals · Dexter, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POPLAR BLUFF, MO 63901
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 Stacy Edgar's NPI number?
The NPI number for Stacy Edgar is 1083388359. It was assigned to this individual provider in the NPPES registry on August 2, 2021.
Where is Stacy Edgar located?
Stacy Edgar practices at 2360 Katy Ln, Poplar Bluff, MO 63901. The listed phone number is (573) 712-2546.
What is Stacy Edgar's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacy Edgar enrolled in Medicare?
Yes. Stacy Edgar 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 Stacy Edgar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Edgar reassigns Medicare benefits to Poplar Bluff Hma Physician Management, LLC (Poplar Bluff, MO). 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 Stacy Edgar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Edgar accept?
Health plans from Anthem Blue Cross and Blue Shield list Stacy Edgar 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 Stacy Edgar affiliated with any hospitals?
According to CMS data, Stacy Edgar is affiliated with Missouri Delta Medical Center, Poplar Bluff Regional Medical Center and Mercy Hospital Stoddard.
When was this NPI record last updated?
The NPPES record for Stacy Edgar was last updated on November 11, 2021. 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.
# Stacy Lee Edgar, FNP-C · NPI 1083388359
Family physician in Poplar Bluff, Missouri. Individual provider, active in the CMS NPPES registry since August 2, 2021.
## Identity
- **NPI:** 1083388359 (Entity type: Individual)
- **Enumerated:** August 2, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2021026192 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 2360 KATY LN, Poplar Bluff, MO 63901-2300
- **Phone:** (573) 712-2546
## 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:** Poplar Bluff Hma Physician Management, LLC (NPI 1598710147, Poplar Bluff, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1083388359) · Data from the CMS NPPES public registry.