ABBEY LEE STONE DNP, APRN, FNP-BC
NPI 1194315606
Nurse Practitioner - Family in Cadiz, KY

Active since January 20, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2022, Nov 15, 2021, Jan 20, 2021 (3 updates tracked since 2021).

About Abbey Lee Stone Dnp, Aprn, Fnp-bc NPPES

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

ABBEY LEE STONE DNP, APRN, FNP-BC (NPI 1194315606) is an individual family provider in Cadiz, Kentucky, licensed in Kentucky (3016908) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Trigg County Hospital, and maintains a secondary practice location in Hopkinsville.

NPPES Registry Identity

NPI1194315606
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameABBEY LEE STONECredential: DNP, APRN, FNP-BC
Location Address249 MAIN STCadiz, KY 42211-9154
Mailing Address249 Main StCadiz, KY 42211-9154 · (270) 206-7114
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 20, 2021
Last NPPES UpdateNovember 10, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
✔ NPI 1194315606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3016908
Also ListedRegistered NurseTaxonomy 163W00000X · License 1125554 (KY)
249 MAIN ST, Cadiz, KY 42211

Secondary Practice Location 1

Location 110755 Eagle Way Ste 100Hopkinsville, KY 42240-8742 · Phone (270) 887-0270

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

Abbey Lee Stone Dnp, Aprn, Fnp-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 ID42601148
PECOS Enrollment IDI20211228001630
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Abbey Stone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
249 MAIN ST
Cadiz, KY 42211
  • Reassigned Medicare billing, Kentucky enrollment
  • 3 clinicians in this Medicare group
Rural Health
105 KEETON DR
Hopkinsville, KY 42240
  • Reassigned Medicare billing, Kentucky enrollment
  • 169 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.

Areas of Expertise CMS Part B claims 8

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.

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.
141 services80 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services38 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
46 services17 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.
46 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
43 services43 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
26 services21 patients

Hospital Affiliations CMS Care Compare

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

Trigg County Hospital

Critical Access Hospitals · Cadiz, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181304
Location254 Main StreetCadiz, KY 42211 · Trigg County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42211 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
54%48 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Family)
249 MAIN ST
CADIZ, KY 42211
Nurse Practitioner (Family)
249 MAIN ST
CADIZ, KY 42211
Nurse Practitioner (Family)
249 MAIN ST
CADIZ, KY 42211
Nurse Practitioner (Family)
249 MAIN ST
CADIZ, KY 42211

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 Abbey Stone's NPI number?

The NPI number for Abbey Stone is 1194315606. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Abbey Stone located?

Abbey Stone practices at 249 Main St, Cadiz, KY 42211. The listed phone number is (270) 206-7114.

What is Abbey Stone's specialty?

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

Is Abbey Stone enrolled in Medicare?

Yes. Abbey 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.

Which organizations bill Medicare for Abbey Stone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abbey Stone reassigns Medicare benefits to 2 organizations: Foundations Primary Care LLC (Cadiz, KY) and Jennie Stuart Medical Center Inc (Hopkinsville, KY). 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 Abbey Stone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abbey Stone accept?

Health plans from Anthem Blue Cross and Blue Shield list Abbey 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.

Is Abbey Stone affiliated with any hospitals?

According to CMS data, Abbey Stone is affiliated with Trigg County Hospital.

When was this NPI record last updated?

The NPPES record for Abbey Stone was last updated on November 10, 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.