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MRS. STACY LEANN FISKE FNP-C
NPI 1760164412
Nurse Practitioner in Eminence, MO

Active since August 02, 2023PECOS Enrolled
17959 MAIN STREET, EMINENCE, MO 65466(573) 226-5505 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Stacy Leann Fiske Fnp-c NPPES

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

MRS. STACY LEANN FISKE FNP-C (NPI 1760164412) is an individual nurse practitioner in Eminence, Missouri, licensed in Missouri (2023030046) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760164412
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. STACY LEANN FISKECredential: FNP-C
Location Address17959 MAIN STREETEminence, MO 65466
Mailing Address20067 Bearclaw RdEunice, MO 65468-6804 · (417) 247-0677
Phone(573) 226-5505
Sole ProprietorNo
Enumeration DateAugust 2, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1760164412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2023030046
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
17959 MAIN STREET, Eminence, MO 65466
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stacy Leann Fiske Fnp-c 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 Reassignments

2

Medicare enrollment records show Stacy Fiske reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Big Springs Medical Association
Same address
Federally Qualified Health Center (FQHC)
17959 MAIN ST
Eminence, MO 65466
  • Reassigned Medicare billing, Missouri enrollment
  • 104 clinicians in this Medicare group
NPI 1972606895 (573) 226-5505
Infinite Medical PC
1,116 mi
Family Medicine
7 CREEK LN
Bristol, RI 02809
  • Reassigned Medicare billing, Missouri enrollment
  • 23 clinicians in this Medicare group
NPI 1407483175 (718) 964-6161

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 65466 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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

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

DR. JOSEPH CHESTER FRANCIS CAMIRE D.O.
Family Medicine
17959 MAIN STREET
EMINENCE, MO 65466
Shannon County (573) 226-5505

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 Fiske's NPI number?

The NPI number for Stacy Fiske is 1760164412. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Stacy Fiske located?

Stacy Fiske practices at 17959 Main Street, Eminence, MO 65466. The listed phone number is (573) 226-5505.

What is Stacy Fiske's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stacy Fiske enrolled in Medicare?

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

Which organizations bill Medicare for Stacy Fiske's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Fiske reassigns Medicare benefits to 2 organizations: Big Springs Medical Association (Eminence, MO) and Infinite Medical PC (Bristol, RI). Each 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 Stacy Fiske's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacy Fiske was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.