MS. STACEY NICOLE OGBURN CRNP-PMH
NPI 1093683567
Nurse Practitioner - Psychiatric/Mental Health in Berlin, MD

Q: What is Stacey Ogburn's NPI number?

The NPI number for Stacey Ogburn is 1093683567. It was assigned to this individual provider in the NPPES registry on October 27, 2025. The provider is also known as Ms. Stacey Ogburn Shelton.

Q: What is Stacey Ogburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Ogburn was last updated on December 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 27, 2025PECOS Enrolled

9958 N MAIN ST, BERLIN, MD 21811(410) 973-2820(410) 973-2843 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Stacey Nicole Ogburn Crnp-pmh NPPES

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

MS. STACEY NICOLE OGBURN CRNP-PMH (NPI 1093683567) is an individual psychiatric/mental health provider in Berlin, Maryland, licensed in Maryland (R185128) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1093683567

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. STACEY NICOLE OGBURNCredential: CRNP-PMH

Location Address9958 N MAIN STBerlin, MD 21811-1076

Mailing AddressPo Box 1978Salisbury, MD 21802-1978 · (410) 749-1015 · Fax (410) 749-0654

Phone(410) 973-2820

Fax(410) 973-2843

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 27, 2025

Last NPPES UpdateDecember 1, 2025

NPPES CertifiedDecember 1, 2025

✔ NPI 1093683567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MD · R185128

9958 N MAIN ST, Berlin, MD 21811

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Other Names 1

Former Name (1)Ms. Stacey Ogburn Shelton

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Stacey Nicole Ogburn Crnp-pmh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103312236

PECOS Enrollment IDI20251229001184

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 21811 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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 20

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

MS. BETHANIE MORGAN WATKINSON LMSW

Social Worker