KATEY ANN STAFFORD PMHNP
NPI 1104483742
Nurse Practitioner - Psychiatric/Mental Health in Monett, MO
About Katey Ann Stafford Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATEY ANN STAFFORD PMHNP (NPI 1104483742) is an individual psychiatric/mental health provider in Monett, Missouri, licensed in Michigan (4704379403) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katey Ann Stafford Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Katey Stafford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monett, MO 65708
- Reassigned Medicare billing, Missouri enrollment
- 41 clinicians in this Medicare group
Sikeston, MO 63801
- Reassigned Medicare billing, Missouri enrollment
- 29 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65708 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONETT, MO 65708
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 Katey Stafford's NPI number?
The NPI number for Katey Stafford is 1104483742. It was assigned to this individual provider in the NPPES registry on May 20, 2019. The provider is also known as Katey Ann Keys.
Where is Katey Stafford located?
Katey Stafford practices at 411 3rd St, Monett, MO 65708. The listed phone number is (417) 476-1000.
What is Katey Stafford's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Katey Stafford enrolled in Medicare?
Yes. Katey Stafford is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Katey Stafford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katey Stafford reassigns Medicare benefits to 2 organizations: Clark Community Mental Health Center (Monett, MO) and Bootheel Counseling Services (Sikeston, 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 Katey Stafford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katey Stafford 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 4 other insurers list Katey Stafford 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.
When was this NPI record last updated?
The NPPES record for Katey Stafford was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 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.
# Katey Ann Stafford, PMHNP · NPI 1104483742
Psychiatric/Mental Health physician in Monett, Missouri. Individual provider, active in the CMS NPPES registry since May 20, 2019.
## Identity
- **NPI:** 1104483742 (Entity type: Individual)
- **Enumerated:** May 20, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 4704379403 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 411 3RD ST, Monett, MO 65708-2008
- **Phone:** (417) 476-1000 · **Fax:** (417) 943-5540
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Clark Community Mental Health Center (NPI 1801807771, Monett, MO); Bootheel Counseling Services (NPI 1497064547, Sikeston, MO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104483742) · Data from the CMS NPPES public registry.