MRS. STACEY MARIE HIBDON
NPI 1558890806
Nurse Practitioner - Family in Saint Louis, MO
About Mrs. Stacey Marie Hibdon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACEY MARIE HIBDON (NPI 1558890806) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2016044203) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 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
Mrs. Stacey Marie Hibdon 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 Reassignment
Medicare enrollment records show Stacey Hibdon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63127
- Reassigned Medicare billing, Missouri enrollment
- 15 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.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital South
Acute Care Hospitals · Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63131 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.
DES PERES, MO 63131
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 Stacey Hibdon's NPI number?
The NPI number for Stacey Hibdon is 1558890806. It was assigned to this individual provider in the NPPES registry on June 9, 2017. The provider is also known as Ms. Stacey Marie Bax Rn.
Where is Stacey Hibdon located?
Stacey Hibdon practices at 1010 Old Des Peres Rd, Saint Louis, MO 63131. The listed phone number is (314) 729-0077.
What is Stacey Hibdon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacey Hibdon enrolled in Medicare?
Yes. Stacey Hibdon 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 organization bills Medicare for Stacey Hibdon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Hibdon reassigns Medicare benefits to Gwent LLC (Saint Louis, MO). 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 Stacey Hibdon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Hibdon accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Stacey Hibdon 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 Stacey Hibdon affiliated with any hospitals?
According to CMS data, Stacey Hibdon is affiliated with Mercy Hospital South.
When was this NPI record last updated?
The NPPES record for Stacey Hibdon was last updated on July 21, 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.
# Mrs. Stacey Marie Hibdon · NPI 1558890806
Family physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since June 9, 2017.
## Identity
- **NPI:** 1558890806 (Entity type: Individual)
- **Enumerated:** June 9, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2016044203 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1010 OLD DES PERES RD, Saint Louis, MO 63131-1865
- **Phone:** (314) 729-0077
## 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:** Gwent LLC (NPI 1508494543, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1558890806) · Data from the CMS NPPES public registry.