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DR. STACY ANN DONNELLY D.O
NPI 1629204284
Pediatrics in Greensburg, KY

Active since June 09, 2009PECOS Enrolled
2680 CAMPBELLSVILLE RD, GREENSBURG, KY 42743(270) 299-2111(270) 299-2211 Get Directions Write a Review

NPPES record last updated: December 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stacy Ann Donnelly D.o NPPES

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

DR. STACY ANN DONNELLY D.O (NPI 1629204284) is an individual pediatrics provider in Greensburg, Kentucky, licensed in Kentucky (04015) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629204284
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. STACY ANN DONNELLYCredential: D.O
Location Address2680 CAMPBELLSVILLE RDGreensburg, KY 42743-8898
Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 858-6644 · Fax (270) 858-4027
Phone(270) 299-2111
Fax(270) 299-2211
Sole ProprietorNo
Enumeration DateJune 9, 2009
Last NPPES UpdateDecember 2, 2016
✔ NPI 1629204284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 04015
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2680 CAMPBELLSVILLE RD, Greensburg, KY 42743
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Other Identifiers 2

Medicare PINK207140KY
Medicaid7100427790KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacy Ann Donnelly D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42743 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 5

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

SAMANTHA M ROUSE LPCC-S
Counselor (Mental Health)
2680 CAMPBELLSVILLE RD
GREENSBURG, KY 42743
Green County (270) 401-1157
ABIDING HOPE COUNSELING
Counselor (Professional)
2680 CAMPBELLSVILLE RD
GREENSBURG, KY 42743
Green County (270) 937-0157
MELISSA G JUDD CSW
Social Worker (Clinical)
2680 CAMPBELLSVILLE RD
GREENSBURG, KY 42743
Green County (270) 937-0157
CANDACE CAVEN M.ED
Counselor (Professional)
2680 CAMPBELLSVILLE RD
GREENSBURG, KY 42743
Green County (270) 937-0157
GLASGOW PEDIATRIC ASSOCIATES
Nurse Practitioner (Family)
2680 CAMPBELLSVILLE RD
GREENSBURG, KY 42743
Green County (270) 299-2222

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 Donnelly's NPI number?

The NPI number for Stacy Donnelly is 1629204284. It was assigned to this individual provider in the NPPES registry on June 9, 2009.

Where is Stacy Donnelly located?

Stacy Donnelly practices at 2680 Campbellsville Rd, Greensburg, KY 42743. The listed phone number is (270) 299-2111.

What is Stacy Donnelly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stacy Donnelly enrolled in Medicare?

Yes. Stacy Donnelly is registered in the Medicare PECOS enrollment system.

What insurance does Stacy Donnelly accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Stacy Donnelly 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 Donnelly was last updated on December 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.