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

Amy Stacey, PA

Individual provider Physician Assistant · NPI 1962041830

Amy Stacey, PA is a Physician Assistant in West Frankfort, Illinois. Qualified in 2019, 7 years ago. Practices with Deaconess Illinois Specialty Clinic, Inc, a 139-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

502 W Saint Louis St Ste 4
West Frankfort, IL 62896-1968
Phone: (618) 937-3400
Fax: (618) 997-9324
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085007306 (IL)

Record details

NPI number1962041830
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 24, 2019
Last updated in NPPESDecember 24, 2019
Certification dateDecember 24, 2019
Mailing address502 W Saint Louis St Ste 4, West Frankfort, IL 62896-1968

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Deaconess Illinois Specialty Clinic, Inc. — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Frankfort