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STACY ROBERTSON PMHNP-BC
NPI 1861070989
Nurse Practitioner - Psychiatric/Mental Health in Jackson, KY

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
832 HIGHWAY 15 N, JACKSON, KY 41339(606) 666-5142(606) 666-4172 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2026, Mar 18, 2026, May 9, 2023 and 4 more (7 updates tracked since 2021).

About Stacy Robertson Pmhnp-bc NPPES

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

STACY ROBERTSON PMHNP-BC (NPI 1861070989) is an individual psychiatric/mental health provider in Jackson, Kentucky, licensed in Kentucky (3015980) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861070989
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTACY ROBERTSONCredential: PMHNP-BC
Location Address832 HIGHWAY 15 NJackson, KY 41339-8284
Mailing Address321c E College AveStanton, KY 40380-2325 · (606) 663-9797 · Fax (606) 663-9470
Phone(606) 666-5142
Fax(606) 666-4172
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2021
Last NPPES UpdateApril 6, 20267 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1861070989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 3015980
832 HIGHWAY 15 N, Jackson, KY 41339
Open in Google Maps ↗

Other Names 1

Former Name (1)Stacy Lovins Aprn

Secondary Practice Locations 4

Location 11710 N Main StHazard, KY 41701-1278 · Phone (606) 439-4865
Location 2321C E College AveStanton, KY 40380-2325 · Phone (606) 663-9797 · Fax (606) 663-9470
Location 3156 Island Creek RdPikeville, KY 41501-9340 · Phone (606) 432-3221 · Fax (606) 432-7087
Location 4268 E Maple StSalyersville, KY 41465-8032 · Phone (606) 349-5300 · Fax (606) 349-5312

Other Identifiers 1

Medicaid7100773010KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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 and accepts Medicare assignment

Stacy Robertson Pmhnp-bc 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 ID7719375039
PECOS Enrollment IDI20211019001541
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

5

Medicare enrollment records show Stacy Robertson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aaron K. Jonan Memorial Clinic Inc.
6.4 mi
Rural Health
832 HIGHWAY 15 N
Jackson, KY 41339
  • Reassigned Medicare billing, Kentucky enrollment
  • 14 clinicians in this Medicare group
NPI 1477569226 (606) 666-5142
Salyersville Medical Center, LLC
21 mi
Rural Health
268 E MAPLE ST
Salyersville, KY 41465
  • Reassigned Medicare billing, Kentucky enrollment
  • 14 clinicians in this Medicare group
NPI 1215984711 (606) 349-5300
Frontier Behavioral Health Center PLLC
21 mi
Multi-Specialty
838 E MOUNTAIN PKWY
Salyersville, KY 41465
  • Reassigned Medicare billing, Kentucky enrollment
  • 23 clinicians in this Medicare group
NPI 1295287118 (606) 349-7475
Pediatric Associates
24 mi
Rural Health
1710 N MAIN ST, PEDIATRIC ASSOCIATES
Hazard, KY 41701
  • Reassigned Medicare billing, Kentucky enrollment
  • 13 clinicians in this Medicare group
NPI 1487600615 (606) 487-8300
Frontier Medical Associates Of Paintsville Inc
36 mi
Rural Health
713 BROADWAY ST STE 301B
Paintsville, KY 41240
  • Reassigned Medicare billing, Kentucky enrollment
  • 38 clinicians in this Medicare group
NPI 1568070142 (606) 372-1234

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 41339 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.

Other Providers at the Same Location NPPES 6

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

MRS. EDNA ELIZABETH WILLIAMS APRN
Nurse Practitioner (Family)
832 HIGHWAY 15 N
JACKSON, KY 41339
Breathitt County (606) 666-5142
BETTY FAYE NOBLE NP-C
Nurse Practitioner (Family)
832 HIGHWAY 15 N
JACKSON, KY 41339
Breathitt County (606) 666-5142
JACKSON ORTHOPEDIC AND SPINE CLINIC
Orthopaedic Surgery
832 HIGHWAY 15 N
JACKSON, KY 41339
Breathitt County (606) 568-9921
JERRI CAMPBELL NP
Nurse Practitioner (Family)
832 HIGHWAY 15 N
JACKSON, KY 41339
Breathitt County (606) 666-5142
AARON K. JONAN MEMORIAL CLINIC INC.
Clinic/Center (Rural Health)
832 HIGHWAY 15 N
JACKSON, KY 41339
Breathitt County (606) 666-5142
CYNTHIA PRATHER BELL APRN
Nurse Practitioner (Family)
832 HIGHWAY 15 N
JACKSON, KY 41339
Breathitt County (606) 666-5142

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 Robertson's NPI number?

The NPI number for Stacy Robertson is 1861070989. It was assigned to this individual provider in the NPPES registry on March 30, 2021. The provider is also known as Stacy Lovins Aprn.

Where is Stacy Robertson located?

Stacy Robertson practices at 832 Highway 15 N, Jackson, KY 41339. The listed phone number is (606) 666-5142.

What is Stacy Robertson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stacy Robertson enrolled in Medicare?

Yes. Stacy Robertson 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 organizations bill Medicare for Stacy Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Robertson reassigns Medicare benefits to 5 organizations: Aaron K. Jonan Memorial Clinic Inc. (Jackson, KY), Salyersville Medical Center, LLC (Salyersville, KY), Frontier Behavioral Health Center PLLC (Salyersville, KY), Pediatric Associates (Hazard, KY) and Frontier Medical Associates Of Paintsville Inc (Paintsville, 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 Stacy Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Robertson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Stacy Robertson 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 Stacy Robertson was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.