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

Stacy Robertson, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1861070989

Stacy Robertson, PMHNP-BC is a Nurse Practitioner in Jackson, Kentucky. Qualified in 2020, 6 years ago. Practices with Pediatric Associates, a 9-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

832 Highway 15 N
Jackson, KY 41339-8284
Phone: (606) 666-5142
Fax: (606) 666-4172
Show map & directions

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

Additional practice locations (4)

  • 1710 N Main St, Hazard, KY 41701-1278 — (606) 439-4865
  • 156 Island Creek Rd, Pikeville, KY 41501-9340 — (606) 432-3221
  • 268 E Maple St, Salyersville, KY 41465-8032 — (606) 349-5300
  • 321c E College Ave, Stanton, KY 40380-2325 — (606) 663-9797

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 3015980 (KY)

Record details

NPI number1861070989
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Pediatric Associates — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare