Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stacey Ann Timmons, PA-C

Individual provider Physician Assistant · NPI 1902143183

Mrs. Stacey Ann Timmons, PA-C is a Physician Assistant in Edmond, Oklahoma. Qualified in 2012, 14 years ago. Practices with Psychplus, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
14
Licensed in
OK
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2017 W I 35 Frontage Rd
Edmond, OK 73013-8504
Phone: (405) 509-2800
Fax: (405) 509-2885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11888 Marsh Ln Ste 104, Dallas, TX 75234-8083 — (214) 828-0448

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2187 (OK)

Record details

NPI number1902143183
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 8, 2013
Last updated in NPPESJuly 9, 2022
Certification dateJuly 9, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Psychplus — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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