STACEY ANN NICELY
NPI 1710401310
Psychologist in Logansport, IN

Active since July 26, 2017PECOS EnrolledAccepts Medicare Assignment
1015 MICHIGAN AVE, LOGANSPORT, IN 46947(574) 722-5151(574) 722-1791 Get Directions Write a Review

NPPES record last updated: July 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey Ann Nicely NPPES

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

STACEY ANN NICELY (NPI 1710401310) is an individual psychologist in Logansport, Indiana and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710401310
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSTACEY ANN NICELY
Location Address1015 MICHIGAN AVELogansport, IN 46947-1526
Mailing Address800 Fulton StLogansport, IN 46947-1577
Fax(574) 722-1791
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 26, 2017
NPI 1710401310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1015 MICHIGAN AVE, Logansport, IN 46947

Accepted Insurance

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 Ann Nicely 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 ID5698138568
PECOS Enrollment IDI20230824002349
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.

Other Providers at the Same Location NPPES 20

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

Counselor (School)
1015 MICHIGAN AVE, MAIN CENTER
LOGANSPORT, IN 46947
Registered Nurse
1015 MICHIGAN AVE
LOGANSPORT, IN 46947
Registered Nurse
1015 MICHIGAN AVE
LOGANSPORT, IN 46947
Registered Nurse (Psychiatric/Mental Health, Adult)
1015 MICHIGAN AVE
LOGANSPORT, IN 46947
Counselor (Addiction (Substance Use Disorder))
1015 MICHIGAN AVE
LOGANSPORT, IN 46947
Licensed Practical Nurse
1015 MICHIGAN AVE
LOGANSPORT, IN 46947
Case Manager/Care Coordinator
1015 MICHIGAN AVE
LOGANSPORT, IN 46947
Registered Nurse
1015 MICHIGAN AVE
LOGANSPORT, IN 46947

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 Nicely's NPI number?

The NPI number for Stacey Nicely is 1710401310. It was assigned to this individual provider in the NPPES registry on July 26, 2017.

Where is Stacey Nicely located?

Stacey Nicely practices at 1015 Michigan Ave, Logansport, IN 46947. The listed phone number is (574) 722-5151.

What is Stacey Nicely's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Stacey Nicely enrolled in Medicare?

Yes. Stacey Nicely 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.

What insurance does Stacey Nicely accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Stacey Nicely 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 Stacey Nicely was last updated on July 26, 2017. 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.