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

Individual provider Family Nurse Practitioner · NPI 1740865914

Stacy Kellum, FNP-C is a Family Practice in Lincoln, Nebraska. Qualified in 2020, 6 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Nebraska.

Years since qualifying
6
Licensed in
NE
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

233 S 13th St Ste 1100
Lincoln, NE 68508-2003
Phone: (720) 897-3749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 699 Walnut St Ste 4, Des Moines, IA 50309-3949 — (720) 897-3749
  • 527 N 5th St, Oneill, NE 68763-1327 — (402) 540-1804

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 113220 (NE)

Record details

NPI number1740865914
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedMarch 10, 2021
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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