STACY LATHAM APRN, PMHNP-BC
NPI 1457998809
Nurse Practitioner - Psychiatric/Mental Health in Poplar Bluff, MO
About Stacy Latham Aprn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY LATHAM APRN, PMHNP-BC (NPI 1457998809) is an individual psychiatric/mental health provider in Poplar Bluff, Missouri, licensed in Missouri (2019045345) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Poplar Bluff Regional Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Stacy Latham 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stacy Latham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Poplar Bluff, MO 63901
- Reassigned Medicare billing, Missouri enrollment
- 89 clinicians in this Medicare group
Sikeston, MO 63801
- Reassigned Medicare billing, Missouri enrollment
- 203 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Poplar Bluff Regional Medical Center
Acute Care Hospitals · Poplar Bluff, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
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 Latham's NPI number?
The NPI number for Stacy Latham is 1457998809. It was assigned to this individual provider in the NPPES registry on December 4, 2019.
Where is Stacy Latham located?
Stacy Latham practices at 1500 N Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 686-4151.
What is Stacy Latham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Stacy Latham enrolled in Medicare?
Yes. Stacy Latham 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 Stacy Latham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Latham reassigns Medicare benefits to 2 organizations: Poplar Bluff Hma Physician Management, LLC (Poplar Bluff, MO) and Missouri Delta Medical Center (Sikeston, MO). 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 Stacy Latham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Latham accept?
Health plans from Anthem Blue Cross and Blue Shield and Medica list Stacy Latham 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 Latham affiliated with any hospitals?
According to CMS data, Stacy Latham is affiliated with Poplar Bluff Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Stacy Latham was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Stacy Latham, APRN, PMHNP-BC · NPI 1457998809
Psychiatric/Mental Health physician in Poplar Bluff, Missouri. Individual provider, active in the CMS NPPES registry since December 4, 2019.
## Identity
- **NPI:** 1457998809 (Entity type: Individual)
- **Enumerated:** December 4, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2019045345 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 N WESTWOOD BLVD, Poplar Bluff, MO 63901-3318
- **Phone:** (573) 686-4151 · **Fax:** (573) 778-4156
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Poplar Bluff Hma Physician Management, LLC (NPI 1598710147, Poplar Bluff, MO); Missouri Delta Medical Center (NPI 1508967860, Sikeston, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457998809) · Data from the CMS NPPES public registry.