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

Individual provider Family Nurse Practitioner · NPI 1154763514

Stacey Farrell, CNP is a Nurse Practitioner in Destin, Florida. Qualified in 2013, 13 years ago. Practices with Gulf Coast Pain Consultants LLC, a 37-clinician group and accepts Medicare assignment. Licensed in Florida and Mississippi.

Years since qualifying
13
Licensed in
FL, MS
In the registry since
2013
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

4477 Legendary Dr Ste 201
Destin, FL 32541-5332
Phone: (850) 736-1251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11016785 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R855653 (MS)

Record details

NPI number1154763514
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 25, 2013
Last updated in NPPESMay 10, 2025
Certification dateMay 10, 2025
Mailing address411 Fulton St, Greenwood, MS 38930-4314

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Gulf Coast Pain Consultants Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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