MS. STACY JERVIS FNP-BC, MED, CNRN
NPI 1538569199
Nurse Practitioner - Family in Arkansas City, KS
About Ms. Stacy Jervis Fnp-bc, Med, Cnrn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. STACY JERVIS FNP-BC, MED, CNRN (NPI 1538569199) is an individual family provider in Arkansas City, Kansas, licensed in Kansas (53-76375-032) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Ms. Stacy Jervis Fnp-bc, Med, Cnrn 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 Jervis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Arkansas City, KS 67005
- Reassigned Medicare billing, Kansas enrollment
Crownpoint, NM 87313
- Reassigned Medicare billing, Texas enrollment
- 265 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 67005 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jervis's NPI number?
The NPI number for Stacy Jervis is 1538569199. It was assigned to this individual provider in the NPPES registry on September 1, 2014.
Where is Stacy Jervis located?
Stacy Jervis practices at 2508 Edgemont Dr Ste 2, Arkansas City, KS 67005. The listed phone number is (620) 442-7120.
What is Stacy Jervis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacy Jervis enrolled in Medicare?
Yes. Stacy Jervis 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 Jervis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Jervis reassigns Medicare benefits to 2 organizations: Abbas Family Medicine (Arkansas City, KS) and Dhhs Phs Naihs Crownpoint Hospital (Crownpoint, NM). 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 Jervis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Jervis accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Stacy Jervis 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.
When was this NPI record last updated?
The NPPES record for Stacy Jervis was last updated on February 7, 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.
# Ms. Stacy Jervis, FNP-BC, MED, CNRN · NPI 1538569199
Family physician in Arkansas City, Kansas. Individual provider, active in the CMS NPPES registry since September 1, 2014.
## Identity
- **NPI:** 1538569199 (Entity type: Individual)
- **Enumerated:** September 1, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 53-76375-032 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2508 EDGEMONT DR STE 2, Arkansas City, KS 67005-3844
- **Phone:** (620) 442-7120
## 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): Abbas Family Medicine (NPI 1083286728, Arkansas City, KS); Dhhs Phs Naihs Crownpoint Hospital (NPI 1114960093, Crownpoint, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** February 7, 2022
- **Other identifiers:** Medicaid KA5478001 (KS)
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Source: [NPI Profile](https://npiprofile.com/npi/1538569199) · Data from the CMS NPPES public registry.