ELSIE MAY STINES CRNP
NPI 1801821210
Nurse Practitioner - Pediatrics in Lexington, KY

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
740 S LIMESTONE, LEXINGTON, KY 40536(859) 323-5481 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elsie May Stines Crnp NPPES

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

ELSIE MAY STINES CRNP (NPI 1801821210) is an individual pediatrics provider in Lexington, Kentucky, licensed in Kentucky (4385P) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1801821210
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameELSIE MAY STINESCredential: CRNP
Location Address740 S LIMESTONELexington, KY 40536-0001
Mailing Address2333 Alumni Park Plz, Suite 200Lexington, KY 40517-4012 · (859) 257-7910
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 12, 2006
Last NPPES UpdateSeptember 18, 2008
✔ NPI 1801821210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in KY · 4385P✔ Licensed in MD · R134424
740 S LIMESTONE, Lexington, KY 40536

Other Identifiers 4

Medicare ID-Type Unspecified0621237
Medicaid400315200MD
Medicare UPINP31058
Medicaid78012473KY

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

Elsie May Stines Crnp 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 ID5890754014
PECOS Enrollment IDI20120320000454
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 Reassignment

Medicare enrollment records show Elsie Stines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Medical Laboratory
120 SOUTH PENN STREET
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 172 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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.

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.

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims1,680 services$0.10 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 20

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
740 S LIMESTONE
LEXINGTON, KY 40536
Psychiatry & Neurology (Neurology)
740 S LIMESTONE
LEXINGTON, KY 40536
Psychologist (Clinical)
740 S LIMESTONE
LEXINGTON, KY 40536
Internal Medicine (Infectious Disease)
740 S LIMESTONE
LEXINGTON, KY 40536
Specialist/Technologist (Athletic Trainer)
740 S LIMESTONE, SUITE K401, KY CLINIC
LEXINGTON, KY 40536
Genetic Counselor, MS
740 S LIMESTONE
LEXINGTON, KY 40536
Nurse Practitioner (Psychiatric/Mental Health)
740 S LIMESTONE
LEXINGTON, KY 40536
Nurse Practitioner (Primary Care)
740 S LIMESTONE
LEXINGTON, KY 40536

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 Elsie Stines's NPI number?

The NPI number for Elsie Stines is 1801821210. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Elsie Stines located?

Elsie Stines practices at 740 S Limestone, Lexington, KY 40536. The listed phone number is (859) 323-5481.

What is Elsie Stines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Elsie Stines enrolled in Medicare?

Yes. Elsie Stines 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 Elsie Stines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elsie Stines reassigns Medicare benefits to University Of Maryland Pediatric Associates, PA (Baltimore, MD). 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 Elsie Stines'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 Elsie Stines was last updated on September 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.