Kendra K Stacey, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0052337 Issued in OK

Practice address

102 NW 31St
Lawton, OK 73505

Phone

(580) 353-6790

Fax

(580) 510-7019

NPI assigned

Sep 20, 2005

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 OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comanche County Healthcare CorporationGroup PAC ID 0749192433, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Xxiv Home health agency, Lawton, OK, CCN 377660
• Health Watch Health Care of Altus, LLC Home health agency, Altus, OK, CCN 377751
• Complete Home Health of Tishomingo LLC Home health agency, Tishomingo, OK, CCN 377704
• Memorial Health Hospital, Lawton, OK, CCN 370056
• Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kendra.stacey@mmg.eclinicaldirectplus.com

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.

• Comanche County Healthcare Corporation

  • Public Health or Welfare Agency
  • Lawton, OK
  • NPI 1053352690
  Medicare reassignment Care Compare group NPD
• Comanche County Healthcare

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1275557712
  NPD
• Comanche County Healthcare Corporation

  • Allergy & Immunology Physician
  • Lawton, OK
  • NPI 1013640846
  NPD
• Comanche County Healthcare

  • Surgery Physician
  • Lawton, OK
  • NPI 1285651232
  NPD (past)
• Comanche County Hospital Authority

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1720022379
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

• Comanche County Hospital Authority

  • Land Ambulance
  • Walters, OK
  • NPI 1285181610

  Hospital

  Care Compare affiliation
• Comanche County Hospital Authority

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1720022379
  Care Compare affiliation
• Comanche County Hospital Authority

  • Land Ambulance
  • Lawton, OK
  • NPI 1770525883

  Hospital

  Care Compare affiliation
• Complete Home Health of Tishomingo LLC

  • Home Health Agency
  • Tishomingo, OK
  • NPI 1891116232
  Care Compare affiliation
• Health Watch Health Care of Altus, LLC

  • Home Health Agency
  • Altus, OK
  • NPI 1801298013
  Care Compare affiliation
• Indian Territory Home Health & Hospice II, LLC

  • Home Health Agency
  • Lawton, OK
  • NPI 1114932639
  Care Compare affiliation
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  Care Compare affiliation

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1124014790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73502",
            "telephone_number": "580-357-9984",
            "fax_number": "580-357-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 NW 31ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-353-6790",
            "fax_number": "580-510-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACEY",
        "first_name": "KENDRA",
        "middle_name": "K",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0052337",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OK",
            "license": "R0052337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7591256",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-FREDERICK",
            "identifier": "628427054001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer Campbell, M.D., PLLC
• Angela M Spicer
• Kaitlyn Elizabeth Spillers, BHCM II
• Gary Spottedhorse, PT
• Lyndee Springer, PHARMD
• Stacia a. Buchanan, MSBS, LPC-S
• Danielle Stacks
• Albert Standridge
• Angela L Stanley, LPC
• Angela W Stanley

• Family Nurse Practitioner in Lawton, OK
• Providers in Lawton, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.