STACEY L. FAWBUSH FNP-C
NPI 1104215854
Nurse Practitioner - Family in Springfield, MO
About Stacey L. Fawbush Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY L. FAWBUSH FNP-C (NPI 1104215854) is an individual family provider in Springfield, Missouri, licensed in Missouri (2014044284) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Washington, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Stacey L. Fawbush 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 Reassignments
4Medicare enrollment records show Stacey Fawbush reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1578280483 (Missouri)
- 457 clinicians in this Medicare group
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 1,487 clinicians in this Medicare group
Springfield, MO 65804
- Reassigned Medicare billing, Missouri enrollment
- 107 clinicians in this Medicare group
Branson, MO 65616
- Reassigned Medicare billing, Missouri enrollment
- 65 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 5
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.
Mercy Hospital Washington
Acute Care Hospitals · Washington, MOMercy Hospital Lebanon
Acute Care Hospitals · Lebanon, MOMercy Hospital Springfield
Acute Care Hospitals · Springfield, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65807 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
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 Fawbush's NPI number?
The NPI number for Stacey Fawbush is 1104215854. It was assigned to this individual provider in the NPPES registry on January 20, 2015.
Where is Stacey Fawbush located?
Stacey Fawbush practices at 1000 E Primrose St, Springfield, MO 65807. The listed phone number is (417) 269-9812.
What is Stacey Fawbush's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacey Fawbush enrolled in Medicare?
Yes. Stacey Fawbush 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 organizations bill Medicare for Stacey Fawbush's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Fawbush reassigns Medicare benefits to 4 organizations: Lester E Cox Medical Centers (Springfield, MO), Mercy Clinic Springfield Communities (Springfield, MO), Lester E Cox Medical Centers (Springfield, MO) and Skaggs Community Hospital Association (Branson, MO). 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 Fawbush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Fawbush accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Stacey Fawbush 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 Stacey Fawbush affiliated with any hospitals?
According to CMS data, Stacey Fawbush is affiliated with Mercy Hospital Washington, Mercy Hospital Lebanon and Mercy Hospital Springfield.
When was this NPI record last updated?
The NPPES record for Stacey Fawbush was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Stacey L. Fawbush, FNP-C · NPI 1104215854
Family physician in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since January 20, 2015.
## Identity
- **NPI:** 1104215854 (Entity type: Individual)
- **Enumerated:** January 20, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2014044284 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 E PRIMROSE ST, Springfield, MO 65807-5154
- **Phone:** (417) 269-9812 · **Fax:** (417) 269-9853
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Lester E Cox Medical Centers (NPI 1801837505, Springfield, MO); Mercy Clinic Springfield Communities (NPI 1245277631, Springfield, MO); Lester E Cox Medical Centers (NPI 1912452814, Springfield, MO); Skaggs Community Hospital Association (NPI 1487423109, Branson, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 3, 2019
- **Other identifiers:** Medicaid 1104215854 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1104215854) · Data from the CMS NPPES public registry.