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

Mrs. Stacey Marie Hibdon

Individual provider Family Nurse Practitioner · NPI 1558890806

Mrs. Stacey Marie Hibdon is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2016, 10 years ago. Practices with Gwent LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2017

Practice location Address checks out

1010 Old Des Peres Rd
Saint Louis, MO 63131-1865
Phone: (314) 729-0077
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2016044203 (MO)

Record details

NPI number1558890806
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 9, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Gwent Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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