STACY ROSE FREDERICK APRN, FNP-BC
NPI 1104250893
Nurse Practitioner - Family in Lexington, KY

Q: What is Stacy Frederick's NPI number?

The NPI number for Stacy Frederick is 1104250893. It was assigned to this individual provider in the NPPES registry on August 29, 2013. The provider is also known as Stacy Smith.

Q: What is Stacy Frederick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Frederick was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since August 29, 2013PECOS EnrolledAccepts Medicare Assignment

2400 GREATSTONE PT STE A100, LEXINGTON, KY 40504(859) 323-7246(859) 257-6768 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacy Rose Frederick Aprn, Fnp-bc NPPES

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

STACY ROSE FREDERICK APRN, FNP-BC (NPI 1104250893) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3008265) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1104250893

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACY ROSE FREDERICKCredential: APRN, FNP-BC

Location Address2400 GREATSTONE PT STE A100Lexington, KY 40504-3274

Mailing Address2312 Alexandria DrLexington, KY 40504-3229 · (859) 276-5344 · Fax (859) 296-0362

Phone(859) 323-7246

Fax(859) 257-6768

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 29, 2013

Last NPPES UpdateFebruary 12, 2025

NPPES CertifiedFebruary 12, 2025

✔ NPI 1104250893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3008265

2400 GREATSTONE PT STE A100, Lexington, KY 40504

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Other Names 1

Former Name (1)Stacy Smith

Secondary Practice Location 1

Location 12407 Members WayLexington, KY 40504-3383 · Phone (859) 278-4869 · Fax (859) 278-7690

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy Rose Frederick Aprn, Fnp-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.

PECOS PAC ID6901030139

PECOS Enrollment IDI20131001000614

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

690 services400 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

91 services84 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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

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

DR. CHRISTOPHER MALLARD M.D.

Anesthesiology (Pain Medicine)

2400 GREATSTONE PT STE A100
LEXINGTON, KY 40504

Fayette County (859) 323-7246

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 Frederick's NPI number?

The NPI number for Stacy Frederick is 1104250893. It was assigned to this individual provider in the NPPES registry on August 29, 2013. The provider is also known as Stacy Smith.

Where is Stacy Frederick located?

Stacy Frederick practices at 2400 Greatstone Pt Ste A100, Lexington, KY 40504. The listed phone number is (859) 323-7246.

What is Stacy Frederick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacy Frederick enrolled in Medicare?

Yes. Stacy Frederick 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.

Is Stacy Frederick affiliated with any hospitals?

According to CMS data, Stacy Frederick is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Stacy Frederick was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.