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STACY SHANTE REDMOND NP-C
NPI 1417676271
Nurse Practitioner - Primary Care in Columbus, MS

Active since August 24, 2022PECOS Enrolled
3103 SIERRA CT, COLUMBUS, MS 39705(662) 889-7528 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stacy Shante Redmond Np-c NPPES

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

STACY SHANTE REDMOND NP-C (NPI 1417676271) is an individual primary care provider in Columbus, Mississippi, licensed in Mississippi (903311) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417676271
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSTACY SHANTE REDMONDCredential: NP-C
Location Address3103 SIERRA CTColumbus, MS 39705-1807
Mailing Address3103 Sierra CtColumbus, MS 39705-1807 · (662) 889-7528
Phone(662) 889-7528
Sole ProprietorNo
Enumeration DateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
✔ NPI 1417676271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MS · 903311
3103 SIERRA CT, Columbus, MS 39705
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Shante Redmond Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Stacy Redmond reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Care Health Network LLC
204 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Mississippi enrollment
  • 195 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

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 39705 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 Redmond's NPI number?

The NPI number for Stacy Redmond is 1417676271. It was assigned to this individual provider in the NPPES registry on August 24, 2022.

Where is Stacy Redmond located?

Stacy Redmond practices at 3103 Sierra Ct, Columbus, MS 39705. The listed phone number is (662) 889-7528.

What is Stacy Redmond's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Stacy Redmond enrolled in Medicare?

Yes. Stacy Redmond is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacy Redmond's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Redmond reassigns Medicare benefits to Community Care Health Network LLC (Nashville, TN). 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 Stacy Redmond's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacy Redmond was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.