Active NPI
Rachel L Stuck, FNP
- Nurse Practitioner
- Crittenden, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3016985
- Practice address
- 405 Violet Rd
Crittenden, KY 41030-8956 - Phone
- (859) 428-1610
- Fax
- (859) 428-3923
- NPI assigned
- Nov 9, 2021
- Last updated
- May 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0030197 | OH | |
| Nurse Practitioner | 363L00000X | 3016985 | KY | Primary |
Addresses
Primary practice location
405 Violet Rd
Crittenden, KY 41030-8956
Mailing address
405 Violet Rd
Crittenden, KY 41030-8956
Phone (859) 428-1610
Other practice location 1
5505 Harrison Ave
Cincinnati, OH 45248-2311
Phone (513) 832-0980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
405 Violet Rd
Crittenden, KY 41030-8956
Phone (859) 428-1610
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0030197 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Tristate Banp, LLC | Nurse Practitioner | Current | Accepting new patients |
| Summit Medical Group, Inc | Nurse Practitioner | Current | Accepting new patients |
| Summit Medical Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
| St Elizabeth Medical Center, Inc | Past | Accepting new patients |
Locations
334 Thomas More Pkwy
Ste 200
Crestview Hills, KY 41017
Phone (859) 344-3737
405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610
100 Blackburn Ln
Dry Ridge, KY 41035
Phone (859) 823-5441
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- rstuck397701@direct-prd.stelizabeth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Elizabeth Physicians
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Nurse Practitioner
-
- Nurse Practitioner
- Union, KY
- NPI 1720648850
-
- Urgent Care Clinic/Center
- Cincinnati, OH
- NPI 1982903951
-
dba St. Elizabeth Physicians
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
dba St. Elizabeth Physicians Urgent Care
- Urgent Care Clinic/Center
- Highland Heights, KY
- NPI 1881026169
Nurse Practitioner
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Elizabeth Grant
- Critical Access Hospital
- Williamstown, KY
- NPI 1114974813
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1154087781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 VIOLET RD",
"city": "CRITTENDEN",
"state": "KY",
"postal_code": "410308956",
"telephone_number": "859-428-1610",
"fax_number": "859-428-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 VIOLET RD",
"city": "CRITTENDEN",
"state": "KY",
"postal_code": "410308956",
"telephone_number": "859-428-1610",
"fax_number": "859-428-3923"
}
],
"practiceLocations": [
{
"address_1": "5505 Harrison Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452482311",
"country_code": "US",
"telephone_number": "513-832-0980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUCK",
"first_name": "RACHEL",
"middle_name": "L",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "0030197",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3016985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crittenden, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.