Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACEY ELAINE ODDERA APRN
NPI 1558964080
Nurse Practitioner - Family in Anna, IL

Q: What is Stacey Oddera's NPI number?

The NPI number for Stacey Oddera is 1558964080. It was assigned to this individual provider in the NPPES registry on November 18, 2020.

Q: What is Stacey Oddera's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Oddera was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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 18, 2020PECOS EnrolledAccepts Medicare Assignment

75.73/100

CMS Quality Rating

98 PEACH RIDGE RD, ANNA, IL 62906(618) 614-1400(618) 614-1401 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Aug 5, 2026, Oct 19, 2023 and 4 more (7 updates tracked since 2020).

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About Stacey Elaine Oddera Aprn NPPES

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

STACEY ELAINE ODDERA APRN (NPI 1558964080) is an individual family provider in Anna, Illinois, licensed in Illinois (277003734) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1558964080

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACEY ELAINE ODDERACredential: APRN

Location Address98 PEACH RIDGE RDAnna, IL 62906-2243

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 614-1400

Fax(618) 614-1401

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 18, 2020

Last NPPES UpdateAugust 13, 20267 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1558964080 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

Licenses✔ Licensed in IL · 277003734✔ Licensed in KY · 3015488

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209022361 (IL)

98 PEACH RIDGE RD, Anna, IL 62906

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Secondary Practice Locations 5

Location 1405 Rushing DrHerrin, IL 62948-3730 · Phone (618) 993-3300 · Fax (618) 993-0262

Location 2502 W Saint Louis St Ste 4West Frankfort, IL 62896-1968 · Phone (618) 937-3400 · Fax (618) 997-9324

Location 32601 W Main StCarbondale, IL 62901-1031 · Phone (618) 549-5361 · Fax (618) 351-4878

Location 44960 Village Square DrPaducah, KY 42001-7490 · Phone (731) 394-1145

Location 5117 E Clark StHarrisburg, IL 62946-2702 · Phone (618) 252-8625 · Fax (618) 351-4859

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

Stacey Elaine Oddera Aprn 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 ID4082006804

PECOS Enrollment IDI20220127001898

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.

Areas of Expertise CMS Part B claims 2

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

35 services22 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

19 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141334

Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County

Emergency services

Anna Hospital Corporation D/B/A Union County Hospital

Critical Access Hospitals · Anna, IL

OwnershipProprietary

CMS Certification Number141342

Location517 North Main StreetAnna, IL 62906 · Union County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62906 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.

75.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.09

Promoting Interoperability

100

Improvement Activities

Cost

45.26

Other Providers at the Same Location NPPES 3

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

CRISTEN MAE MCKIBBEN FNP-C

Nurse Practitioner

98 PEACH RIDGE RD
ANNA, IL 62906

Union County (618) 614-1400

DANECE LYNN BENNETT APRN

Nurse Practitioner

98 PEACH RIDGE RD
ANNA, IL 62906

Union County (618) 614-1400

SOUTHERN ILLINOIS MEDICAL SERVICES, NFP

Clinic/Center (Rural Health)

98 PEACH RIDGE RD
ANNA, IL 62906

Union County (618) 614-1400

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 Oddera's NPI number?

The NPI number for Stacey Oddera is 1558964080. It was assigned to this individual provider in the NPPES registry on November 18, 2020.

Where is Stacey Oddera located?

Stacey Oddera practices at 98 Peach Ridge Rd, Anna, IL 62906. The listed phone number is (618) 614-1400.

What is Stacey Oddera's specialty?

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

Is Stacey Oddera enrolled in Medicare?

Yes. Stacey Oddera 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.

Is Stacey Oddera affiliated with any hospitals?

According to CMS data, Stacey Oddera is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, St Joseph Memorial Hospital and Anna Hospital Corporation D/B/A Union County Hospital.

When was this NPI record last updated?

The NPPES record for Stacey Oddera was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.