WANDA RAYE STIDHAM
NPI 1821982489
Nurse Practitioner - Primary Care in Hazard, KY
About Wanda Raye Stidham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WANDA RAYE STIDHAM (NPI 1821982489) is an individual primary care provider in Hazard, Kentucky, licensed in Kentucky (4042301) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wanda Raye Stidham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAZARD, KY 41701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821982489, enumerated as an "individual" on June 06, 2025.
The provider is located at 181 ROY CAMPBELL DR HAZARD, KY 41701 and the phone number is (606) 439-1316.
Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.
