STACEY NICOLE RUTLEDGE
NPI 1548130669
Nurse Anesthetist, Certified Registered in Farmington, MO

Q: What is Stacey Rutledge's NPI number?

The NPI number for Stacey Rutledge is 1548130669. It was assigned to this individual provider in the NPPES registry on November 5, 2025.

Q: What is Stacey Rutledge's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Rutledge was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 05, 2025

1101 W LIBERTY ST, FARMINGTON, MO 63640(573) 756-6451 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Nov 5, 2025 (2 updates tracked since 2025).

On this page

About Stacey Nicole Rutledge NPPES

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

STACEY NICOLE RUTLEDGE (NPI 1548130669) is an individual nurse anesthetist, certified registered in Farmington, Missouri, licensed in Missouri (2026014054) and active in the NPI registry since November 2025. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1548130669

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameSTACEY NICOLE RUTLEDGE

Location Address1101 W LIBERTY STFarmington, MO 63640-1921

Mailing Address6027 Kensington WayImperial, MO 63052-2369

Phone(573) 756-6451

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 5, 2025

Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1548130669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MO · 2026014054

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1101 W LIBERTY ST, Farmington, MO 63640

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Nicole Rutledge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446725865

PECOS Enrollment IDI20260413002944

Leave this field empty

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.

PARKLAND HEALTH CENTER

General Acute Care Hospital