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

Mrs. Stacey Tebbe

Individual provider Nurse Practitioner · NPI 1073158119

Mrs. Stacey Tebbe is a Nurse Practitioner in Mattoon, Illinois. Qualified in 2019, 7 years ago. Practices with St Anthonys Memorial Hospital of the Hospital Sisters of the Third, a 26-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
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Practice location Address checks out

101 Coles Centre Dr
Mattoon, IL 61938-9314
Phone: (217) 234-5110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209020253 (IL)

Record details

NPI number1073158119
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2019
Last updated in NPPESOctober 29, 2020
Certification dateOctober 29, 2020
Mailing address101 Coles Centre Dr, Mattoon, IL 61938-9314

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mattoon