STACEY ANN NICELY
NPI 1710401310
Psychologist in Logansport, IN
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
Specialties & Licenses
Accepted 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 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.
Medicare Billing Reassignment
Medicare enrollment records show Stacey Nicely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berrien Springs, MI 49103
- Reassigned Medicare billing, Michigan enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LOGANSPORT, IN 46947
LOGANSPORT, IN 46947
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.
Which organization bills Medicare for Stacey Nicely's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Nicely reassigns Medicare benefits to Life Coach Psychology Plc (Berrien Springs, MI). 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 Stacey Nicely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Nicely accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian 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.