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NATHANIEL EDWARD STEARNS APRN
NPI 1871314658
Nurse Practitioner in Nancy, KY

Active since October 23, 2024PECOS Enrolled
9919 W HWY 80, NANCY, KY 42544(606) 288-0019 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nathaniel Edward Stearns Aprn NPPES

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

NATHANIEL EDWARD STEARNS APRN (NPI 1871314658) is an individual nurse practitioner in Nancy, Kentucky, licensed in Kentucky (4028574) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871314658
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameNATHANIEL EDWARD STEARNSCredential: APRN
Location Address9919 W HWY 80Nancy, KY 42544
Mailing Address9919 W Hwy 80Nancy, KY 42544 · (606) 288-0019
Phone(606) 288-0019
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1871314658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 4028574
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
9919 W HWY 80, Nancy, KY 42544
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathaniel Edward Stearns Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113455841
PECOS Enrollment IDI20250109000538
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42544 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 Nathaniel Stearns's NPI number?

The NPI number for Nathaniel Stearns is 1871314658. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Where is Nathaniel Stearns located?

Nathaniel Stearns practices at 9919 W Hwy 80, Nancy, KY 42544. The listed phone number is (606) 288-0019.

What is Nathaniel Stearns's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nathaniel Stearns enrolled in Medicare?

Yes. Nathaniel Stearns is registered in the Medicare PECOS enrollment system.

What insurance does Nathaniel Stearns accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Nathaniel Stearns 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.

Is Nathaniel Stearns affiliated with any hospitals?

According to CMS data, Nathaniel Stearns is affiliated with Lake Cumberland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Nathaniel Stearns was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.