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STACY HOLLEY FNP
NPI 1144647652
Nurse Practitioner - Family in Grayson, KY

Active since March 21, 2014PECOS EnrolledAccepts Medicare Assignment
107 E MAIN ST, GRAYSON, KY 41143(606) 474-0244(606) 474-0412 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy Holley Fnp NPPES

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

STACY HOLLEY FNP (NPI 1144647652) is an individual family provider in Grayson, Kentucky, licensed in West Virginia (84657) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains a secondary practice location in Huntington.

NPPES Registry Identity

NPI1144647652
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY HOLLEYCredential: FNP
Location Address107 E MAIN STGrayson, KY 41143-1301
Mailing Address107 E Main StGrayson, KY 41143-1301 · (606) 474-0244 · Fax (606) 474-0412
Phone(606) 474-0244
Fax(606) 474-0412
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2012
Enumeration DateMarch 21, 2014
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1144647652 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 WV · 84657
107 E MAIN ST, Grayson, KY 41143
Open in Google Maps ↗

Other Names 1

Other Name (5)Stacy Brooke Menix-layne Fnp

Secondary Practice Location 1

Location 12900 First Avenue, Room 1025Huntington, WV 25702-1241 · Phone (304) 399-7484 · Fax (304) 399-7579

Other Identifiers 3

Medicaid0102228OH
Other3053133WV · Bcbs
Medicaid7100295790KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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 Holley Fnp 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 ID1355565458
PECOS Enrollment IDI20231028000146
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 4

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
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.
28 services18 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
18 services12 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

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.

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 4

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

VICTORIA RENEE GILLIAM APRN
Nurse Practitioner (Family)
107 E MAIN ST
GRAYSON, KY 41143
Carter County (606) 316-7066
MCCLOUD EYE CARE CENTER INC
Optometrist
107 E MAIN ST
GRAYSON, KY 41143
Carter County (606) 474-5149
DR. JASON H MCCLOUD O.D.
Optometrist
107 E MAIN ST
GRAYSON, KY 41143
Carter County (606) 474-5149
MAIN STREET MEDICAL CLINIC
Nurse Practitioner (Family)
107 E MAIN ST
GRAYSON, KY 41143
Carter County (606) 474-0244

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 Holley's NPI number?

The NPI number for Stacy Holley is 1144647652. It was assigned to this individual provider in the NPPES registry on March 21, 2014. The provider is also known as Stacy Brooke Menix-Layne Fnp.

Where is Stacy Holley located?

Stacy Holley practices at 107 E Main St, Grayson, KY 41143. The listed phone number is (606) 474-0244.

What is Stacy Holley's specialty?

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

Is Stacy Holley enrolled in Medicare?

Yes. Stacy Holley 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.

What insurance does Stacy Holley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Stacy Holley 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 Stacy Holley affiliated with any hospitals?

According to CMS data, Stacy Holley is affiliated with King's Daughters' Medical Center.

When was this NPI record last updated?

The NPPES record for Stacy Holley was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.