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STACY NELSON RN
NPI 1255684445
Nurse Practitioner - Family in Kingman, AZ

Active since October 25, 2012PECOS EnrolledAccepts Medicare Assignment
2850 E PUNTA VIS, KINGMAN, AZ 86409(928) 385-6350 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2025, Dec 27, 2016 (2 updates tracked since 2016).

About Stacy Nelson Rn NPPES

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

STACY NELSON RN (NPI 1255684445) is an individual family provider in Kingman, Arizona, licensed in Arizona (328483) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255684445
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY NELSONCredential: RN
Location Address2850 E PUNTA VISKingman, AZ 86409-1583
Mailing Address2850 E Punta VisKingman, AZ 86409-1583 · (928) 385-6350
Phone(928) 385-6350
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 25, 2012
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1255684445 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 AZ · 328483
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 141028-30 (WI)
2850 E PUNTA VIS, Kingman, AZ 86409
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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

Stacy Nelson 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 ID345726410
PECOS Enrollment IDI20260108000834
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 86409 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 Stacy Nelson's NPI number?

The NPI number for Stacy Nelson is 1255684445. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Where is Stacy Nelson located?

Stacy Nelson practices at 2850 E Punta Vis, Kingman, AZ 86409. The listed phone number is (928) 385-6350.

What is Stacy Nelson's specialty?

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

Is Stacy Nelson enrolled in Medicare?

Yes. Stacy Nelson 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 Stacy Nelson was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.