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

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: October 25, 2026.

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

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 Memorial Hospital Of Carbondale, 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
Open in Google Maps ↗

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 4117 E Clark StHarrisburg, IL 62946-2702 · Phone (618) 252-8625 · Fax (618) 351-4859
Location 54960 Village Square DrPaducah, KY 42001-7490 · Phone (731) 394-1145

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, MercyCare and more.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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Stacey Oddera reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Illinois Medical Services, Nfp
18 mi
Internal Medicine
1239 E MAIN ST
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 702 clinicians in this Medicare group
NPI 1770656837 (618) 457-5200
Ultra Health LLC
163 mi
Geriatric Medicine
217 6TH AVE N STE 43952
Nashville, TN 37219
  • Reassigned Medicare billing, Kentucky enrollment
  • 64 clinicians in this Medicare group
NPI 1922469543 (731) 394-1145
Metro Infectious Disease Consultants LLC
209 mi
Infectious Disease
1300 FRANKLIN AVENUE, SUTIE 230C
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 122 clinicians in this Medicare group
NPI 1811154354 (888) 220-6432

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 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 3

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

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
Quality63.09
Promoting Interoperability100
Improvement Activities40
Cost45.26

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.

Which organizations bill Medicare for Stacey Oddera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Oddera reassigns Medicare benefits to 3 organizations: Southern Illinois Medical Services, Nfp (Carbondale, IL), Ultra Health LLC (Nashville, TN) and Metro Infectious Disease Consultants LLC (Normal, IL). 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 Stacey Oddera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Oddera accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, MercyCare, MercyCare Health Plans and Oscar Health and 1 other insurer list Stacey Oddera 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 Oddera affiliated with any hospitals?

According to CMS data, Stacey Oddera is affiliated with 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 2 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.