Stefanie Dolen, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

04010 Issued in KY

Practice address

126 Franklin Rd
Monticello, KY 42633-2245

Phone

(606) 396-3534

Fax

(606) 396-3535

NPI assigned

Jun 5, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Pikeville, Kentucky College of Osteopathic Med, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champion Physical Therapy Kentucky, LLCGroup PAC ID 3476818519, shared by 3 NPIs, 43 clinicians

Cumberland Family Medical Center IncGroup PAC ID 6305947789, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
• Cumberland County Hospital Hospital, Burkesville, KY, CCN 181317
• The Medical Center at Albany Hospital, Albany, KY, CCN 181333
• T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
• Russell County Hospital Hospital, Russell Springs, KY, CCN 181330

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• KY PPO C-SNP
• OH PPO
• KY PPO
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• TN PPO
• TN PPO C-SNP

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDFGBD
• FHIR API: https://fhir-usa.unify.chbase.com/org/cumberl-cbde49de
• FHIR API: https://fhir-usa.unify.chbase.com/org/clinton-05e03b12
• FHIR API: https://fhir-myrecord.cerner.com/r4/24e03c9a-e2fd-45f4-8243-e38cc7e8418d/
• FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cumberland Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Burkesville, KY
  • NPI 1306873500
  Medicare reassignment Care Compare group NPD
• Lake Cumberland Regional Hospital LLC

  • Internal Medicine Physician
  • Somerset, KY
  • NPI 1861078685
  Medicare reassignment NPD
• Cumberland Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Edmonton, KY
  • NPI 1548953672
  NPD
• Lake Cumberland Regional Hospital LLC

  • Rural Health Clinic/Center
  • Somerset, KY
  • NPI 1023155462
  NPD
• Lake Cumberland Regional Hospital, LLC

  • Internal Medicine Physician
  • Somerset, KY
  • NPI 1447330451
  NPD
• Cumberland Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Danville, KY
  • NPI 1215918917
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bowling Green-Warren County Community Hospital Corporation

  • Critical Access Hospital
  • Albany, KY
  • NPI 1598125502
  Care Compare affiliation
• Cumberland County Hospital Association Inc

  • Critical Access Hospital
  • Burkesville, KY
  • NPI 1073567608
  Care Compare affiliation
• Family Home Health Care LLC

  • Home Health Agency
  • Columbia, KY
  • NPI 1891765723
  Care Compare affiliation
• Russell County Hospital

  • Critical Access Hospital
  • Russell Springs, KY
  • NPI 1013954437
  Care Compare affiliation
• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865

  Hospital

  Care Compare affiliation
• T J Samson Community Hospital

  • General Acute Care Hospital
  • Glasgow, KY
  • NPI 1770581894
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1003229220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425020969",
            "telephone_number": "606-396-3534",
            "fax_number": "606-396-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 FRANKLIN RD",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332245",
            "telephone_number": "606-396-3534",
            "fax_number": "606-396-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 Old Burkesville Road",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "KY",
            "postal_code": "42602",
            "country_code": "US",
            "telephone_number": "606-387-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Keen Street",
            "address_purpose": "LOCATION",
            "city": "Burkesville",
            "state": "KY",
            "postal_code": "427177915",
            "country_code": "US",
            "telephone_number": "270-864-2889",
            "fax_number": "270-864-2229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Hospital Way",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425032872",
            "country_code": "US",
            "telephone_number": "606-451-5092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLEN",
        "first_name": "STEFANIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "04010",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "04010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100480790",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14102106",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diagnostic Radiology of London PSC
• Stephanie Dick, PTA
• Diamond Dishman, LCSW
• Morgan Dishman, PHARMD, RPH
• Carolyn Dobbs, R.PH.
• Dr. J PSC
• Robin Cherron Duncan, APRN
• Kaycee Duree
• Matthew T Eaton, DO
• Amy Doris Edwards, APRN

• Internal Medicine Physician in Monticello, KY
• Providers in Monticello, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.