Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578105367 Individual Practitioner Female Practitioner

Stacey Marie Bast

Licensed Practical Nurse • Edwardsville, IL

Professional Overview & Biography Verified Profile Summary

Stacey Bast is a registered healthcare professional specializing in Licensed Practical Nurse in Edwardsville, IL. Practice services are available at 223 GARDEN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

223 Garden St

Edwardsville, IL 620251974

Telephone 3144209576

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Edwardsville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Edwardsville, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 043-087181

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 13, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2019

Registered at 223 GARDEN ST, EDWARDSVILLE, IL 620251974 (Tel: 3144209576)

📍
Updated Business Mailing Address October 13, 2019

Registered at 153 CHESTER ST, CHESTER, IL 622331755 (Tel: 6185593482)

👤
Provider Name / Credentials Updated October 13, 2019

Recorded as STACEY BAST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2019

Licensed Practical Nurse (License #043-087181 in IL)

🟢
Initial NPI Registration & Enumeration October 13, 2019

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: 1578105367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2019
Last Update: October 13, 2019
Sole Proprietor: Yes

Mailing Address

153 Chester St

Chester, IL 622331755

Phone: 6185593482

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.