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STACIA KAYLEE HOMAN APRN, PNP-PC
NPI 1679371983
Nurse Practitioner - Pediatrics in Grove, OK

Active since March 04, 2025PECOS Enrolled
601 E 13TH ST, GROVE, OK 74344(918) 786-9009(918) 786-3724 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 18, 2025, Mar 4, 2025 (2 updates tracked since 2025).

About Stacia Kaylee Homan Aprn, Pnp-pc NPPES

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

STACIA KAYLEE HOMAN APRN, PNP-PC (NPI 1679371983) is an individual pediatrics provider in Grove, Oklahoma, licensed in Oklahoma (222271) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679371983
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSTACIA KAYLEE HOMANCredential: APRN, PNP-PC
Location Address601 E 13TH STGrove, OK 74344-2989
Mailing Address3001 Quail Springs Pkwy Fl 5Oklahoma City, OK 73134-2640 · (918) 786-9009 · Fax (918) 786-3724
Phone(918) 786-9009
Fax(918) 786-3724
Sole ProprietorNo
Enumeration DateMarch 4, 2025
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1679371983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OK · 222271
601 E 13TH ST, Grove, OK 74344
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacia Kaylee Homan Aprn, Pnp-pc 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.

Medicare Billing Reassignment

Medicare enrollment records show Stacia Homan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integris Grove Hospital
Same address
Rural Health
601 E 13TH ST, STE A, C, G & H
Grove, OK 74344
  • Reassigned Medicare billing, Oklahoma enrollment
  • 16 clinicians in this Medicare group
NPI 1134720592 (918) 786-2243

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74344 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 7

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

NORTHEAST OKLAHOMA FAMILY PRACTICE & OBSTETRICS
Family Medicine
601 E 13TH ST, SUITE H
GROVE, OK 74344
Delaware County (918) 786-4664
INTEGRIS GROVE HOSPITAL
Clinic/Center (Rural Health)
601 E 13TH ST, STE A, C, G & H
GROVE, OK 74344
Delaware County (918) 786-2243
DR. KYLE J SCHAUF MD
Family Medicine
601 E 13TH ST, SUITE G
GROVE, OK 74344
Delaware County (918) 786-9009
DANIEL LEE NICOLL DO
Family Medicine
601 E 13TH ST, SUITE C
GROVE, OK 74344
Delaware County (918) 786-7878
DR. KYLE C WOODERSON D.O.
Surgery
601 E 13TH ST, STE H
GROVE, OK 74344
Delaware County (918) 786-7300
RONALD MARK FORRISTALL MD
Orthopaedic Surgery
601 E 13TH ST, SUITE G
GROVE, OK 74344
Delaware County (918) 786-3391
CHARLES A TULLIS CFA
Specialist/Technologist, Other (Surgical Assistant)
601 E 13TH ST, SUITE G
GROVE, OK 74344
Delaware County (918) 786-3391

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 Stacia Homan's NPI number?

The NPI number for Stacia Homan is 1679371983. It was assigned to this individual provider in the NPPES registry on March 4, 2025.

Where is Stacia Homan located?

Stacia Homan practices at 601 E 13th St, Grove, OK 74344. The listed phone number is (918) 786-9009.

What is Stacia Homan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Stacia Homan enrolled in Medicare?

Yes. Stacia Homan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacia Homan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacia Homan reassigns Medicare benefits to Integris Grove Hospital (Grove, OK). 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 Stacia Homan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacia Homan accept?

Health plans from Mending Health list Stacia Homan 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 Stacia Homan was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.