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STACEY TWIGG
NPI 1902301468
Nurse Practitioner - Psychiatric/Mental Health in Dublin, OH

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
4995 BRADENTON AVE STE 130, DUBLIN, OH 43017(614) 580-6917 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2024, Jul 25, 2024, Apr 3, 2024 and 3 more (6 updates tracked since 2018).

About Stacey Twigg NPPES

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

STACEY TWIGG (NPI 1902301468) is an individual psychiatric/mental health provider in Dublin, Ohio, licensed in Ohio (APRN.CNP.0032697) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1902301468
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTACEY TWIGG
Location Address4995 BRADENTON AVE STE 130Dublin, OH 43017-3551
Mailing Address4995 Bradenton Ave Ste 130Dublin, OH 43017-3551 · (614) 580-6917
Phone(614) 580-6917
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 27, 2018
Last NPPES UpdateAugust 5, 20246 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1902301468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0032697
Also ListedSocial WorkerTaxonomy 104100000X · License S.1450509 (OH)
Also ListedRegistered NurseTaxonomy 163W00000X · License 472924 (OH)
4995 BRADENTON AVE STE 130, Dublin, OH 43017
Open in Google Maps ↗

Other Names 1

Former Name (1)Stacey Smith

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual 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

Stacey Twigg 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 ID8527598903
PECOS Enrollment IDI20250214001015
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

2

Medicare enrollment records show Stacey Twigg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Concord Psychiatry, LLC
Same address
Psychiatry
4995 BRADENTON AVE STE 130
Dublin, OH 43017
  • Reassigned Medicare billing, Ohio enrollment
  • 49 clinicians in this Medicare group
NPI 1134508260 (614) 580-6917
Oh Independent Medical Group LLC
6.3 mi
Family Medicine
3430 OHIO HEALTH PKWY
Columbus, OH 43202
  • Reassigned Medicare billing, Ohio enrollment
  • 174 clinicians in this Medicare group
NPI 1497482111 (614) 566-0152

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 43017 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

ALISHA LYNN PRATT LSW
Social Worker
4995 BRADENTON AVE STE 130
DUBLIN, OH 43017
Franklin County (614) 580-6917
CONCORD PSYCHIATRY, LLC
Psychiatry & Neurology (Addiction Medicine)
4995 BRADENTON AVE STE 130
DUBLIN, OH 43017
Franklin County (614) 580-6917
RACHEL EDWARDS MS, MHC
Counselor (Mental Health)
4995 BRADENTON AVE STE 130
DUBLIN, OH 43017
Franklin County (614) 580-6917
MS. LATASHA DANIELLE WASHINGTON LPC
Counselor (Professional)
4995 BRADENTON AVE STE 130
DUBLIN, OH 43017
Franklin County (614) 580-6917
CONCORD PSYCHIATRY, LLC
Psychiatry & Neurology (Psychiatry)
4995 BRADENTON AVE STE 130
DUBLIN, OH 43017
Franklin County (614) 580-6917
SERINA MUMFORD LISW
Social Worker (Clinical)
4995 BRADENTON AVE STE 130
DUBLIN, OH 43017
Franklin County (614) 580-6917
MONROE ANDREW BRADLEY
Social Worker (Clinical)
4995 BRADENTON AVE STE 130
DUBLIN, OH 43017
Franklin County (614) 580-6917
ALEXA C KAUFMAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4995 BRADENTON AVE STE 130
DUBLIN, OH 43017
Franklin County (614) 580-6917

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 Twigg's NPI number?

The NPI number for Stacey Twigg is 1902301468. It was assigned to this individual provider in the NPPES registry on March 27, 2018. The provider is also known as Stacey Smith.

Where is Stacey Twigg located?

Stacey Twigg practices at 4995 Bradenton Ave Ste 130, Dublin, OH 43017. The listed phone number is (614) 580-6917.

What is Stacey Twigg's specialty?

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

Is Stacey Twigg enrolled in Medicare?

Yes. Stacey Twigg 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 Stacey Twigg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Twigg reassigns Medicare benefits to 2 organizations: Concord Psychiatry, LLC (Dublin, OH) and Oh Independent Medical Group LLC (Columbus, OH). 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 Stacey Twigg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Twigg accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Stacey Twigg 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 Twigg was last updated on August 5, 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.