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

Stacey M Anderson, APRN

Individual provider Family Nurse Practitioner · NPI 1013300896

Stacey M Anderson, APRN is a Nurse Practitioner in Lexington, Kentucky. Qualified in 2014, 12 years ago. Practices with Clark Regional Physician Practices LLC, a 45-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
12
Licensed in
KY
In the registry since
2015
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.

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Practice location Address checks out

1225 S Broadway Ste 201
Lexington, KY 40504-2701
Phone: (859) 258-4950
Fax: (859) 258-4618
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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 3009247 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3009247 (KY)

Record details

NPI number1013300896
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMarch 18, 2015
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing address1221 S Broadway, Lexington, KY 40504-2701

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Clark Regional Physician Practices Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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