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

Individual provider Family Nurse Practitioner · NPI 1083388359

Stacy Lee Edgar, FNP-C is a Nurse Practitioner in Poplar Bluff, Missouri. Qualified in 2021, 5 years ago. Practices with Poplar Bluff Hma Physician Management, LLC, a 41-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
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

2360 Katy Ln
Poplar Bluff, MO 63901-2300
Phone: (573) 712-2546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2021026192 (MO)

Record details

NPI number1083388359
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Poplar Bluff Hma Physician Management, Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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