Active NPI 1417157611 Individual Practitioner Female Practitioner

Stacy Henrickson , NP

Nurse Practitioner • Concord, NC

Professional Overview & Biography Verified Profile Summary

Stacy Henrickson, NP is a registered healthcare professional specializing in Nurse Practitioner in Concord, NC. Practice services are available at 1090 NE GATEWAY CT NE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of ankle, 2 views, x-ray of foot, 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1090 Ne Gateway Ct Ne
Ste 204

Concord, NC 280252414

Telephone 7044037020

Associated Practice Facility / Clinic

🏢 Carolinas Physicians Network Inc Facility NPI 1902049190

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Concord, NC

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.3 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

117 Specialists

Practicing in Concord, NC (4565 Statewide)

Telehealth Adoption Rate

19.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	58	$149.00	$61.79
73600 X-ray of ankle, 2 views	39	39	$98.82	$25.80
73620 X-ray of foot, 2 views	38	38	$99.26	$22.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	23	$245.17	$90.80
73610 X-ray of ankle, minimum of 3 views	23	19	$94.39	$28.45
73630 X-ray of foot, minimum of 3 views	21	19	$91.00	$26.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	113	85	$145.00	$60.40
73600 X-ray of ankle, 2 views	57	55	$95.44	$24.43
73610 X-ray of ankle, minimum of 3 views	52	30	$80.00	$25.46
73630 X-ray of foot, minimum of 3 views	47	37	$97.36	$24.65
73620 X-ray of foot, 2 views	47	47	$95.32	$21.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$224.77	$89.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$291.56	$88.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	77	$136.00	$58.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	17	$7.00	$1.68
73630 X-ray of foot, minimum of 3 views	61	46	$79.00	$23.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	46	$206.80	$84.14
73610 X-ray of ankle, minimum of 3 views	41	26	$79.22	$25.22
73600 X-ray of ankle, 2 views	40	39	$106.50	$24.33
73620 X-ray of foot, 2 views	40	39	$106.50	$21.47
20605 Aspiration and/or injection of medium joint or joint capsule	19	16	$193.68	$40.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$389.09	$134.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	75	$136.00	$58.86
73610 X-ray of ankle, minimum of 3 views	65	37	$79.00	$25.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	11	$7.00	$1.80
73630 X-ray of foot, minimum of 3 views	58	37	$79.00	$22.71
73600 X-ray of ankle, 2 views	53	36	$73.68	$23.73
73620 X-ray of foot, 2 views	43	30	$74.30	$20.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	32	$205.00	$87.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$385.00	$133.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$274.91	$87.51

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NC 5003123

(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.

Secondary Practice Locations

5651 Poplar Tent Rd, Ste 200

Concord, NC 280277530

Phone: 7044037020

Practice Associates & Co-Workers

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

17 Associated Practitioners

Dr. Shane Tipton , MD

Orthopaedic Surgery

NPI 1073977948

Doctor of Medicine (M.D.)

Dr. Brad Freidinger , MD

Orthopaedic Surgery

NPI 1164644837

Doctor of Medicine (M.D.)

Dr. Andrew Ferris , DO

Orthopaedic Surgery

NPI 1245395185

Doctor of Osteopathic Medicine (D.O.)

Kristin Sung , PA

Physician Assistant

NPI 1275705311

Physician Assistant

Alexia Standley , PA-C

Physician Assistant - Surgical

NPI 1336862416

Physician Assistant (Certified)

Gregory Shea , PA

Physician Assistant

NPI 1356442198

Physician Assistant

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location December 20, 2019

Registered at 1090 NE GATEWAY CT NE, STE 204, CONCORD, NC 280252414 (Tel: 7044037020)

📍

Updated Business Mailing Address May 29, 2019

Registered at PO BOX 19305, CHARLOTTE, NC 282199305

👤

Provider Name / Credentials Updated May 29, 2019

Recorded as STACY HENRICKSON, NP

📍

Updated Business Mailing Address May 07, 2019

Registered at 1090 NE GATEWAY CT NE, SUITE 204, CONCORD, NC 280252414

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2019

Nurse Practitioner (License #5003123 in NC)

📍

Updated Practice Location September 21, 2018

Registered at 1090 NE GATEWAY CT NE, SUITE 204, CONCORD, NC 280252414 (Tel: 7044037020)

📍

Updated Business Mailing Address September 21, 2018

Registered at 1090 NE GATEWAY CT NE, CONCORD, NC 280252414

👤

Provider Name / Credentials Updated September 21, 2018

Recorded as STACY HENRICKSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2018

Nurse Practitioner (License #160278 in NC)

✅

NPI Profile Active December 03, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location December 03, 2012

Registered at 1090 NORTHEAST GATEWAY CT, NE, SUITE 204, CONCORD, NC 280252440 (Tel: 7044037020)

📍

Updated Business Mailing Address December 03, 2012

Registered at 1090 NORTHEAST GATEWAY CT, NE, SUITE 204, CONCORD, NC 280252440 (Tel: 7044037020)

👤

Provider Name / Credentials Updated December 03, 2012

Recorded as STACY HENRICKSON, ANP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2012

Nurse Practitioner (License #005003123 in NC)

🟢

Initial NPI Registration & Enumeration July 25, 2007

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: 1417157611

Entity Type:

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

Enumeration Date: July 25, 2007

Last Update: January 20, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 19305

Charlotte, NC 282199305

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.