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

Stacey Elaine Oddera, APRN

Individual provider Nurse Practitioner · NPI 1558964080

Stacey Elaine Oddera, APRN is a Nurse Practitioner in Anna, Illinois. Qualified in 2020, 6 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

98 Peach Ridge Rd
Anna, IL 62906-2243
Phone: (618) 614-1400
Fax: (618) 614-1401
Show map & directions

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

Additional practice locations (4)

  • 2601 W Main St, Carbondale, IL 62901-1031 — (618) 549-5361
  • 117 E Clark St, Harrisburg, IL 62946-2702 — (618) 252-8625
  • 405 Rushing Dr, Herrin, IL 62948-3730 — (618) 993-3300
  • 502 W Saint Louis St Ste 4, West Frankfort, IL 62896-1968 — (618) 937-3400

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277003734 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209022361 (IL)

Record details

NPI number1558964080
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 18, 2020
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing addressPo Box 3988, Carbondale, IL 62902-3988

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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