MRS. STACI JO CARPENTER LISW
NPI 1124495098
Social Worker - Clinical in Grayson, KY
About Mrs. Staci Jo Carpenter Lisw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACI JO CARPENTER LISW (NPI 1124495098) is an individual clinical provider in Grayson, Kentucky, licensed in Ohio (I.2607648) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
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
Mrs. Staci Jo Carpenter Lisw 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 Reassignment
Medicare enrollment records show Staci Carpenter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Merrillville, IN 46410
- Reassigned Medicare billing, Ohio enrollment
- 134 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 41143 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Staci Carpenter's NPI number?
The NPI number for Staci Carpenter is 1124495098. It was assigned to this individual provider in the NPPES registry on August 27, 2015. The provider is also known as Staci Menix Csw.
Where is Staci Carpenter located?
Staci Carpenter practices at 13399 State Highway 2, Grayson, KY 41143. The listed phone number is (606) 713-3853.
What is Staci Carpenter's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Staci Carpenter enrolled in Medicare?
Yes. Staci Carpenter 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 organization bills Medicare for Staci Carpenter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Staci Carpenter reassigns Medicare benefits to Extended Care Specialists, Inc (Merrillville, IN). The 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 Staci Carpenter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Staci Carpenter accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Staci Carpenter 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 Staci Carpenter was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Staci Jo Carpenter, LISW · NPI 1124495098
Clinical provider in Grayson, Kentucky. Individual provider, active in the CMS NPPES registry since August 27, 2015.
## Identity
- **NPI:** 1124495098 (Entity type: Individual)
- **Enumerated:** August 27, 2015
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** I.2607648 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 13399 STATE HIGHWAY 2, Grayson, KY 41143-8640
- **Phone:** (606) 713-3853
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Extended Care Specialists, Inc (NPI 1134146079, Merrillville, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** February 2, 2026
- **Other identifiers:** Medicaid 0334428 (OH); Medicaid 7100620870 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1124495098) · Data from the CMS NPPES public registry.