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Active NPI 1912947169 Individual Practitioner Female Practitioner

Stacey L Smith , FNP

Nurse Practitioner • Sullivan, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacey Smith, FNP is a certified Nurse Practitioner practicing in Sullivan, IN. With approximately 34 years of clinical experience since completing medical education in 1992, Stacey Smith delivers high-quality medical care to the local community at 2229 MARY SHERMAN DR.

Stacey Smith is affiliated with Sullivan County Community Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2229 Mary Sherman Dr

Sullivan, IN 478827633

Telephone 8122683318
Fax 8122684017
Associated Practice Facility / Clinic
🏢 Sullivan Family Practice, Llc Facility NPI 1770502981

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sullivan, IN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
34 Yrs +16.2 yrs vs City Avg
City Avg: 17.8 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Sullivan, IN (2620 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (34 Years) 34 Yrs
Sullivan Specialty Average (17.8 Years) 17.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
11 11 $562.00 $106.25

Medical Specialties & State Licenses

CMS Verified: 2021-04-27
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71000086A

(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

Sullivan County Community Hospital

2229 Mary Sherman Dr, Sullivan, IN 478827633

Phone: 8122683318

Practice Associates & Co-Workers

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

11 Associated Practitioners
Terri Brown , NP

Nurse Practitioner - Family

NPI 1053576405

Nurse Practitioner

Jeanna Lisman , APN

Nurse Practitioner - Family

NPI 1073042131

Advanced Practice Nurse

Dr. Shan Antony , MD

Family Medicine

NPI 1093444382

Doctor of Medicine (M.D.)

Latasha Jones , FNP-C

Nurse Practitioner - Family

NPI 1184255440

Family Nurse Practitioner (Certified)

Dr. Sharif Abdelfattah , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1639605637

Doctor of Podiatric Medicine

Kathleen Pirtle , FNP

Nurse Practitioner

NPI 1770823387

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 09, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2008

Registered at 2229 MARY SHERMAN DR, SULLIVAN, IN 478827633 (Tel: 8122683318)

📍
Updated Business Mailing Address January 09, 2008

Registered at 2229 MARY SHERMAN DR, PO BOX 230, SULLIVAN, IN 478827633 (Tel: 8122683318)

👤
Provider Name / Credentials Updated January 09, 2008

Recorded as STACEY SMITH, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2008

Nurse Practitioner (License #71000086A in IN)

🟢
Initial NPI Registration & Enumeration June 07, 2006

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: 1912947169
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2006
Last Update: April 27, 2021
Sole Proprietor: No

Mailing Address

2229 Mary Sherman Dr, Po Box 230

Sullivan, IN 478827633

Phone: 8122683318

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.