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JERUSHA STACEY RN
NPI 1114512746
Nurse Practitioner - Psychiatric/Mental Health in Tallahassee, FL

Active since March 05, 2021PECOS EnrolledAccepts Medicare Assignment
112 WARE-RHANEY BUILDING 334 PALMER AVE EAST, TALLAHASSEE, FL 32307(850) 599-3017 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2022, Mar 5, 2021 (2 updates tracked since 2021).

About Jerusha Stacey Rn NPPES

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

JERUSHA STACEY RN (NPI 1114512746) is an individual psychiatric/mental health provider in Tallahassee, Florida, licensed in Georgia (RN069963) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1114512746
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJERUSHA STACEYCredential: RN
Location Address112 WARE-RHANEY BUILDING 334 PALMER AVE EASTTallahassee, FL 32307-0001
Mailing AddressPo Box 624Ochlocknee, GA 31773-0624
Phone(850) 599-3017
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMarch 5, 2021
Last NPPES UpdateOctober 19, 20222 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
✔ NPI 1114512746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN069963
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN069963 (GA)
112 WARE-RHANEY BUILDING 334 PALMER AVE EAST, Tallahassee, FL 32307
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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

Jerusha Stacey Rn 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 ID941640510
PECOS Enrollment IDI20240430001036
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 32307 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Jerusha Stacey's NPI number?

The NPI number for Jerusha Stacey is 1114512746. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Where is Jerusha Stacey located?

Jerusha Stacey practices at 112 Ware-Rhaney Building 334 Palmer Ave East, Tallahassee, FL 32307. The listed phone number is (850) 599-3017.

What is Jerusha Stacey's specialty?

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

Is Jerusha Stacey enrolled in Medicare?

Yes. Jerusha Stacey 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.

When was this NPI record last updated?

The NPPES record for Jerusha Stacey was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.