Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Stagg

Individual provider Registered Nurse · NPI 1891561585

Amanda Stagg is a Nurse Practitioner in Lexington, Kentucky. Qualified in 2023, 3 years ago. Practices with Kentucky Counseling Center LLC, a 59-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Kentucky.

Years since qualifying
3
Licensed in
IN, KY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

828 Lane Allen Rd Ste 219
Lexington, KY 40504-3659
Phone: (260) 483-9081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4015968 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 28236174A (IN)

Record details

NPI number1891561585
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2023
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024
Mailing address5221 Oak Grove Rd, Evansville, IN 47715-2342

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Kentucky Counseling Center Llc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Lexington