1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Pediatrics
  6. NPI Profile

STACEY STOKES ROUSSELL MD
NPI 1770629099
Pediatrics in Louisville, KY

Active since January 30, 2007PECOS Enrolled
439 COUNTRY LN, LOUISVILLE, KY 40207(502) 939-5378 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2024, Jan 21, 2021, Jul 14, 2016 and 1 more (4 updates tracked since 2015).

About Stacey Stokes Roussell Md NPPES

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

STACEY STOKES ROUSSELL MD (NPI 1770629099) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (35005) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770629099
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSTACEY STOKES ROUSSELLCredential: MD
Location Address439 COUNTRY LNLouisville, KY 40207-1803
Mailing Address439 Country LnLouisville, KY 40207-1803 · (502) 939-5378 · Fax (502) 272-5337
Phone(502) 939-5378
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateMay 8, 20244 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1770629099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 35005
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 35005 (KY)
439 COUNTRY LN, Louisville, KY 40207
Open in Google Maps ↗

Other Identifiers 7

Other000000200556KY · Anthem
Medicaid64035678KY
Other000000200556KY · Passport Health Plan
Other50035679KY · Passport - Kcma
Other000000739400KY · Anthem - Kcma
Other129357KY · Siho - Kcma
Other611356201KY · Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Stokes Roussell Md 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 Stacey Roussell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.
4.5 mi
Sports Medicine
1951 BISHOP LN FL 4
Louisville, KY 40218
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1386904647 (502) 588-9490
Norton Children's Medical Group, LLC
5.8 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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 Roussell's NPI number?

The NPI number for Stacey Roussell is 1770629099. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Stacey Roussell located?

Stacey Roussell practices at 439 Country Ln, Louisville, KY 40207. The listed phone number is (502) 939-5378.

What is Stacey Roussell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stacey Roussell enrolled in Medicare?

Yes. Stacey Roussell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacey Roussell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Roussell reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). 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 Stacey Roussell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Roussell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and BlueCross BlueShield of Tennessee and 3 other insurers list Stacey Roussell 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 Roussell was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.