Active NPI 1558964080 Individual Practitioner Female Practitioner

Stacey Elaine Oddera , APRN

Nurse Practitioner - Family • Anna, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacey Oddera, APRN is a certified Nurse Practitioner - Family practicing in Anna, IL. With approximately 6 years of clinical experience since completing medical education in 2020, Stacey Oddera delivers high-quality medical care to the local community at 98 PEACH RIDGE RD.

Stacey Oddera maintains professional affiliations with Metro Infectious Disease Consultants Llc, Southern Illinois Medical Services Nfp and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, urinalysis, manual test, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

98 Peach Ridge Rd

Anna, IL 629062243

Telephone 6186141400

Fax 6186141401

Associated Practice Facility / Clinic

🏢 Southern Illinois Medical Services, Nfp Facility NPI 1538689062

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Anna, IL

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

6 Yrs Matches City Avg

City Avg: 6.0 Yrs

State Avg: 8.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Anna, IL (7705 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Oddera (6 Years) 6 Yrs

Anna Specialty Average (6.0 Years) 6.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	35	22	$82.00	$51.11
81002 Urinalysis, manual test	19	15	$17.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	40	$136.00	$73.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$168.00	$92.04
81002 Urinalysis, manual test	11	11	$17.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	57	$133.82	$74.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$167.66	$92.65
71046 X-ray of chest, 2 views	13	13	$103.00	$10.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	11	$45.00	$11.65
81002 Urinalysis, manual test	12	12	$16.00	$3.43

Medical Specialties & State Licenses

CMS Verified: 2026-08-05

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License IL 277003734

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 209022361

(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.

Hospital & Practice Group Affiliations

Metro Infectious Disease Consultants Llc

4501 W Deyoung St, Marion, IL 629596360

Phone: 8774483627

Southern Illinois Medical Services Nfp

2808 E Outer Dr, Marion, IL 629595207

Phone: 6189933817

Secondary Practice Locations

405 Rushing Dr

Herrin, IL 629483730

Phone: 6189933300

502 W Saint Louis St Ste 4

West Frankfort, IL 628961968

Phone: 6189373400

2601 W Main St

Carbondale, IL 629011031

Phone: 6185495361

117 E Clark St

Harrisburg, IL 629462702

Phone: 6182528625

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Cristen Mckibben , FNP-C

Nurse Practitioner

NPI 1174304158

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2023

Nurse Practitioner (License #209022361 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2023

Nurse Practitioner (License #3015488 in KY)

📍

Updated Practice Location July 07, 2023

Registered at 98 PEACH RIDGE RD, ANNA, IL 629062243 (Tel: 6186141400)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2023

Nurse Practitioner (License #209022361 in IL)

📍

Updated Practice Location February 03, 2022

Registered at 2808 OUTER DR, MARION, IL 629595207 (Tel: 6189933817)

📍

Updated Business Mailing Address February 03, 2022

Registered at PO BOX 3988, CARBONDALE, IL 629023988 (Tel: 6184575200)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2022

Nurse Practitioner (License #3015488 in KY)

✅

NPI Profile Active November 18, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2020

Registered at 10 DEER RIDGE RD, GOLCONDA, IL 629384294 (Tel: 2706196289)

📍

Updated Business Mailing Address November 18, 2020

Registered at 10 DEER RIDGE RD, GOLCONDA, IL 629384294 (Tel: 2706196289)

👤

Provider Name / Credentials Updated November 18, 2020

Recorded as STACEY ODDERA, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2020

Nurse Practitioner (License #209022361 in IL)

🟢

Initial NPI Registration & Enumeration November 18, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558964080

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 18, 2020

Last Update: August 05, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3988

Carbondale, IL 629023988

Phone: 6184575200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.