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NATALIE STONE APRN, PMHNP-BC
NPI 1154058675
Nurse Practitioner - Psychiatric/Mental Health in Berea, KY

Active since August 04, 2022PECOS EnrolledAccepts Medicare Assignment
116 N BROADWAY ST STE 6, BEREA, KY 40403(859) 302-9978 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2024, Apr 8, 2024, Nov 7, 2023 and 3 more (6 updates tracked since 2022).

About Natalie Stone Aprn, Pmhnp-bc NPPES

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

NATALIE STONE APRN, PMHNP-BC (NPI 1154058675) is an individual psychiatric/mental health provider in Berea, Kentucky, licensed in Kentucky (3018122) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salem, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154058675
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNATALIE STONECredential: APRN, PMHNP-BC
Location Address116 N BROADWAY ST STE 6Berea, KY 40403-1504
Mailing Address146 E Haiti RdBerea, KY 40403-1650
Phone(859) 302-9978
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 4, 2022
Last NPPES UpdateJune 4, 20246 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1154058675 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
Licenses✔ Licensed in KY · 3018122✔ Licensed in OR · 10025052
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3018122 (KY)
116 N BROADWAY ST STE 6, Berea, KY 40403
Open in Google Maps ↗

Secondary Practice Location 1

Location 1147 Commercial St NE Ste 13Salem, OR 97301-3418 · Phone (859) 302-9978 · Fax (866) 547-0296

Other Identifiers 1

Medicaid7100842440KY

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

Natalie Stone Aprn, Pmhnp-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 ID3678935335
PECOS Enrollment IDI20230811000837
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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
309 services67 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
135 services29 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
46 services23 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
34 services20 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40403 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.

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 Natalie Stone's NPI number?

The NPI number for Natalie Stone is 1154058675. It was assigned to this individual provider in the NPPES registry on August 4, 2022.

Where is Natalie Stone located?

Natalie Stone practices at 116 N Broadway St Ste 6, Berea, KY 40403. The listed phone number is (859) 302-9978.

What is Natalie Stone's specialty?

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

Is Natalie Stone enrolled in Medicare?

Yes. Natalie Stone 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 Natalie Stone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Providence Health Plan list Natalie Stone 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 Natalie Stone was last updated on June 4, 2024. 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.