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

Stacy Lea Devol, CCNS

Individual provider Critical Care Medicine Clinical Nurse Specialist · NPI 1164865465

Stacy Lea Devol, CCNS is a Certified Clinical Nurse Specialist (Cns) in Marietta, Ohio. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2013
Specialties on file
2

Practice location Address checks out

400 Matthew St Ste 401
Marietta, OH 45750-1656
Phone: (740) 374-2252
Fax: (740) 374-4974
Show map & directions

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

Specialties & licences

Acute Care Clinical Nurse Specialist (primary) Taxonomy 364SA2100X · Licence APRN.CNS.13383 (OH)
Critical Care Medicine Clinical Nurse Specialist Taxonomy 364SC0200X · Licence COA.13383-NS (OH)

Record details

NPI number1164865465
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCNS
Sole proprietorYes
NPI enumeratedApril 17, 2013
Last updated in NPPESJuly 16, 2021
Certification dateJuly 16, 2021
Mailing address416 Colegate Dr Bldg 3, Marietta, OH 45750-9549

Medicare enrollment

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

Medicare specialtyCERTIFIED CLINICAL NURSE SPECIALIST (CNS)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount