STACEY MICHELLE NEDRUD MD, DMD
NPI 1891113205
Oral & Maxillofacial Surgery in Jacksonville, FL
About Stacey Michelle Nedrud Md, Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY MICHELLE NEDRUD MD, DMD (NPI 1891113205) is an individual oral & maxillofacial surgery provider in Jacksonville, Florida, licensed in Florida (ME149400) and active in the NPI registry since April 2014. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Stacey Michelle Nedrud Md, Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
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 Nedrud's NPI number?
The NPI number for Stacey Nedrud is 1891113205. It was assigned to this individual provider in the NPPES registry on April 2, 2014.
Where is Stacey Nedrud located?
Stacey Nedrud practices at 7711 Baymeadows Rd E Ste 7, Jacksonville, FL 32256. The listed phone number is (321) 591-1840.
What is Stacey Nedrud's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Stacey Nedrud enrolled in Medicare?
No. Stacey Nedrud has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Stacey Nedrud accept?
Health plans from AvMed, Delta Dental and Humana list Stacey Nedrud 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 Stacey Nedrud was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Stacey Michelle Nedrud, MD, DMD · NPI 1891113205
Oral & Maxillofacial Surgery physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since April 2, 2014.
## Identity
- **NPI:** 1891113205 (Entity type: Individual)
- **Enumerated:** April 2, 2014
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **State license:** ME149400 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 7711 BAYMEADOWS RD E STE 7, Jacksonville, FL 32256-9110
- **Phone:** (321) 591-1840
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** July 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1891113205) · Data from the CMS NPPES public registry.