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STACY A MCCAULEY APRN
NPI 1972717296
Nurse Practitioner in Louisville, KY

Active since May 09, 2007PECOS Enrolled
100/100
CMS Quality Rating
411 E CHESTNUT ST # ST7, LOUISVILLE, KY 40202(502) 588-3400(502) 588-3401 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 26, 2020, Apr 20, 2020, Mar 12, 2020 and 1 more (4 updates tracked since 2018).

About Stacy A Mccauley Aprn NPPES

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

STACY A MCCAULEY APRN (NPI 1972717296) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3004696) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972717296
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACY A MCCAULEYCredential: APRN
Location Address411 E CHESTNUT ST # ST7Louisville, KY 40202-1713
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 588-3400
Fax(502) 588-3401
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateMarch 26, 20244 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1972717296 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 · 3004696
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.
411 E CHESTNUT ST # ST7, Louisville, KY 40202
Open in Google Maps ↗

Other Identifiers 2

Medicaid200889650IN
Medicaid7100029890KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Stacy A Mccauley Aprn 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.

Medicare Billing Reassignments

2

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

University Of Louisville Physicians, Inc.
Same address
Neurology
401 E CHESTNUT ST, SUITE 510
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1063778744 (502) 589-0802
Norton Children's Medical Group, LLC
10 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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 40202 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

MRS. HEATHER MARIE RUSH APRN
Nurse Practitioner (Pediatrics)
411 E CHESTNUT ST # ST7
LOUISVILLE, KY 40202
Jefferson County (502) 588-3400
DR. BRADLY JACKSON THRASHER D.O.
Pediatrics (Pediatric Endocrinology)
411 E CHESTNUT ST # ST7
LOUISVILLE, KY 40202
Jefferson County (502) 588-3400

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 Mccauley's NPI number?

The NPI number for Stacy Mccauley is 1972717296. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Stacy Mccauley located?

Stacy Mccauley practices at 411 E Chestnut St # St7, Louisville, KY 40202. The listed phone number is (502) 588-3400.

What is Stacy Mccauley's specialty?

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

Is Stacy Mccauley enrolled in Medicare?

Yes. Stacy Mccauley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacy Mccauley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Mccauley reassigns Medicare benefits to 2 organizations: University Of Louisville Physicians, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, 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 Mccauley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Mccauley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource list Stacy Mccauley 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 Mccauley was last updated on March 26, 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.