NPIMap

Individual provider Active NPI

Stacey C Greenwell-Osborne

  • Family Nurse Practitioner
  • Bardstown, KY
National Provider Identifier
1356809768
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013037 Issued in KY
Practice address
4371 New Shepherdsville Rd
Bardstown, KY 40004-8040
Phone
(502) 350-1022
Fax
(502) 350-1023
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3013037 KY Primary

Addresses

Primary practice location

4371 New Shepherdsville Rd
Bardstown, KY 40004-8040

Mailing address

PO Box 936
London, KY 40743-0936

Other practice location 1

138 Campbellsville Byp Ste 5
Campbellsville, KY 42718-8843
Phone (270) 283-4638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190510000639 KY Practitioner - Nurse Practitioner 4688917834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4371 New Shepherdsville Rd
Bardstown, KY 40004-8040
Phone (502) 350-1022

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3013037KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates PSC Current Accepting new patients
Kentuckyone Health Medical Group, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Flaget Healthcare Inc CurrentSince Jun 1, 2022 Accepting new patients
Kentuckyone Health Medical Group, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Flaget Healthcare, Inc CurrentSince Jun 1, 2022 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Apr 5, 2019 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Apr 5, 2019 Accepting new patients
Saint Joseph Health System Inc. Past Accepting new patients
Optima Health, PSC PastSince Dec 11, 2011 Accepting new patients
Optima Health, PSC Past Accepting new patients

Locations

4371 New Shepherdsville Rd
Fl 2
Bardstown, KY 40004
Phone (502) 350-1302

4359 New Shepherdsville Rd
Unit 205
Bardstown, KY 40004
Phone (502) 350-1302

4371 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 348-5685

4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000

110 S Salem Dr
Bardstown, KY 40004
Phone (502) 350-5081

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

Interoperability endpoints

  • Direct secure messaging: staceygreenwell-osborne@kysjhspe.allscriptsdirect.net
  • Direct secure messaging: sgreenwellosborne271308@direct.stlukeshealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1356809768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 NEW SHEPHERDSVILLE RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400048040",
            "telephone_number": "502-350-1022",
            "fax_number": "502-350-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Campbellsville Byp Ste 5",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427188843",
            "country_code": "US",
            "telephone_number": "270-283-4638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWELL-OSBORNE",
        "first_name": "STACEY",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.