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

Individual provider Family Nurse Practitioner · NPI 1104250893

Stacy Rose Frederick, APRN, FNP-BC is a Nurse Practitioner in Lexington, Kentucky. Qualified in 2013, 13 years ago. Practices with University of Kentucky, a 786-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
13
Licensed in
KY
In the registry since
2013
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2400 Greatstone Pt Ste A100
Lexington, KY 40504-3274
Phone: (859) 323-7246
Fax: (859) 257-6768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2407 Members Way, Lexington, KY 40504-3383 — (859) 278-4869

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3008265 (KY)

Record details

NPI number1104250893
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-BC
Sole proprietorNo
NPI enumeratedAugust 29, 2013
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice University Of Kentucky — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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