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

Stacey L Smith, FNP

Individual provider Nurse Practitioner · NPI 1912947169

Stacey L Smith, FNP is a Nurse Practitioner in Sullivan, Indiana. Qualified in 1992, 34 years ago. Practices with Sullivan County Community Hospital, a 42-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
34
Licensed in
IN
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

2229 Mary Sherman Dr
Sullivan, IN 47882-7633
Phone: (812) 268-3318
Fax: (812) 268-4017
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71000086A (IN)

Record details

NPI number1912947169
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021
Mailing address2229 Mary Sherman Dr, Po Box 230, Sullivan, IN 47882-7633

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Sullivan County Community Hospital — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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