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MRS. STACIE A SIDEBOTHAM FNP
NPI 1710287263
Nurse Practitioner - Family in Fayetteville, NC

Active since November 01, 2010PECOS Enrolled
405 OWEN DR, FAYETTEVILLE, NC 28304(910) 323-3183(910) 323-5488 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Stacie A Sidebotham Fnp NPPES

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

MRS. STACIE A SIDEBOTHAM FNP (NPI 1710287263) is an individual family provider in Fayetteville, North Carolina, licensed in North Carolina (5004935) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710287263
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. STACIE A SIDEBOTHAMCredential: FNP
Location Address405 OWEN DRFayetteville, NC 28304-3411
Mailing Address413 Owen Dr, Ste 201Fayetteville, NC 28304-3490 · (910) 323-9111 · Fax (910) 484-2535
Phone(910) 323-3183
Fax(910) 323-5488
Sole ProprietorNo
Enumeration DateNovember 1, 2010
Last NPPES UpdateApril 7, 2016
✔ NPI 1710287263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5004935
405 OWEN DR, Fayetteville, NC 28304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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)

Mrs. Stacie A Sidebotham Fnp 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 28304 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$91.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

DR. RAYMOND A GASKINS JR. M.D.
Family Medicine
405 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-3183
MRS. LAURIE SZOKA
Nurse Practitioner (Family)
405 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-3183
CAPE FEAR FAMILY MEDICAL CARE, PA
Family Medicine
405 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-3183
JEFFREY THOMAS RIORDEN FNP
Nurse Practitioner (Family)
405 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-3183
JESSICA NICOLE RITTLER PA-C
Physician Assistant
405 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-3183
RDMG ASSOCIATES, PA
Family Medicine
405 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-3183
JAMES JOHN RICHARD MPAS, PA-C
Physician Assistant
405 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-3183
CHELSEA GEBS BLACK PA-C
Physician Assistant
405 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-3183

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 Stacie Sidebotham's NPI number?

The NPI number for Stacie Sidebotham is 1710287263. It was assigned to this individual provider in the NPPES registry on November 1, 2010.

Where is Stacie Sidebotham located?

Stacie Sidebotham practices at 405 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 323-3183.

What is Stacie Sidebotham's specialty?

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

Is Stacie Sidebotham enrolled in Medicare?

Yes. Stacie Sidebotham is registered in the Medicare PECOS enrollment system.

What insurance does Stacie Sidebotham accept?

Health plans from Blue Cross and Blue Shield of NC list Stacie Sidebotham 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 Stacie Sidebotham was last updated on April 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.