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STACEY A GRANT APN
NPI 1861060295
Nurse Practitioner - Acute Care in Little Rock, AR

Active since June 13, 2021PECOS Enrolled
4301 W MARKHAM ST # 795, LITTLE ROCK, AR 72205(501) 686-8000(501) 526-5148 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2026, Jun 13, 2021 (2 updates tracked since 2021).

About Stacey A Grant Apn NPPES

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

STACEY A GRANT APN (NPI 1861060295) is an individual acute care provider in Little Rock, Arkansas, licensed in Arkansas (215796) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1861060295
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSTACEY A GRANTCredential: APN
Location Address4301 W MARKHAM ST # 795Little Rock, AR 72205-7101
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-0000 · Fax (501) 526-5148
Phone(501) 686-8000
Fax(501) 526-5148
Sole ProprietorNo
Enumeration DateJune 13, 2021
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1861060295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AR · 215796
4301 W MARKHAM ST # 795, Little Rock, AR 72205
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Other Names 1

Former Name (1)Stacey A Allen

Secondary Practice Location 1

Location 12 Saint Vincent CirLittle Rock, AR 72205-5423 · Phone (501) 552-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey A Grant Apn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 19

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

KELSEY RAYE WARD BESETT M.D.
Internal Medicine
4301 W MARKHAM ST # 795
LITTLE ROCK, AR 72205
Pulaski County (501) 526-6422
DR. FARES A MASHAL MD
Internal Medicine
4301 W MARKHAM ST # 795
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5636
ROMINA ELENA ARAGON FARFAN M.D.
Internal Medicine
4301 W MARKHAM ST # 795
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
SHERRY SHENODA NAZER ABADER
Internal Medicine
4301 W MARKHAM ST # 795
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
EINNOD M WILLIAMS MD
Internal Medicine
4301 W MARKHAM ST # 795
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
DR. RAJENDRA MANDALAPU MD
Internal Medicine (Nephrology)
4301 W MARKHAM ST # 795
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5636
ANSHUK KAKRIA MD
Internal Medicine
4301 W MARKHAM ST # 795
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
DR. SAIMA FAWAD M.D.
Internal Medicine (Nephrology)
4301 W MARKHAM ST # 795
LITTLE ROCK, AR 72205
Pulaski County (015) 266-4225

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 Grant's NPI number?

The NPI number for Stacey Grant is 1861060295. It was assigned to this individual provider in the NPPES registry on June 13, 2021. The provider is also known as Stacey A Allen.

Where is Stacey Grant located?

Stacey Grant practices at 4301 W Markham St # 795, Little Rock, AR 72205. The listed phone number is (501) 686-8000.

What is Stacey Grant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Stacey Grant enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stacey Grant was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.