MRS. STACI LYNN BURLEYSON FNP-C
NPI 1487159943
Nurse Practitioner - Family in Salem, IL

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
1275 HAWTHORN RD, SALEM, IL 62881(618) 548-4545(618) 548-4577 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2022, Apr 8, 2021, Dec 7, 2020 and 1 more (4 updates tracked since 2018).

About Mrs. Staci Lynn Burleyson Fnp-c NPPES

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

MRS. STACI LYNN BURLEYSON FNP-C (NPI 1487159943) is an individual family provider in Salem, Illinois, licensed in Illinois (209017646) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1487159943
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. STACI LYNN BURLEYSONCredential: FNP-C
Location Address1275 HAWTHORN RDSalem, IL 62881-1028
Mailing Address1275 Hawthorn RdSalem, IL 62881-1028 · (618) 548-4545 · Fax (618) 548-4577
Fax(618) 548-4577
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 27, 2018
Last NPPES UpdateJanuary 4, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
NPI 1487159943 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 IL · 209017646
Also ListedFamily MedicineTaxonomy 207Q00000X · License F03180485 (IL)
1275 HAWTHORN RD, Salem, IL 62881

Accepted 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

Mrs. Staci Lynn Burleyson Fnp-c 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 ID5991043887
PECOS Enrollment IDI20190220000016
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.

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Salem Township Hospital

Critical Access Hospitals · Salem, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number141345
Location1201 Ricker DriveSalem, IL 62881 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62881 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers14 claims14 services$36.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1275 HAWTHORN RD
SALEM, IL 62881
General Practice
1275 HAWTHORN RD
SALEM, IL 62881
Nurse Practitioner (Pediatrics)
1275 HAWTHORN RD
SALEM, IL 62881
Nurse Practitioner
1275 HAWTHORN RD
SALEM, IL 62881
Clinical Nurse Specialist (Psychiatric/Mental Health)
1275 HAWTHORN RD
SALEM, IL 62881
Nurse Practitioner (Pediatrics)
1275 HAWTHORN RD
SALEM, IL 62881
Clinic/Center (Federally Qualified Health Center (FQHC))
1275 HAWTHORN RD
SALEM, IL 62881
Nurse Practitioner (Women's Health)
1275 HAWTHORN RD
SALEM, IL 62881

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 Staci Burleyson's NPI number?

The NPI number for Staci Burleyson is 1487159943. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Staci Burleyson located?

Staci Burleyson practices at 1275 Hawthorn Rd, Salem, IL 62881. The listed phone number is (618) 548-4545.

What is Staci Burleyson's specialty?

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

Is Staci Burleyson enrolled in Medicare?

Yes. Staci Burleyson 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 Staci Burleyson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Staci Burleyson 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 Staci Burleyson affiliated with any hospitals?

According to CMS data, Staci Burleyson is affiliated with Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center and Salem Township Hospital.

When was this NPI record last updated?

The NPPES record for Staci Burleyson was last updated on January 4, 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.