Deborah Jean Stovall, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3013153 Issued in KY

Practice address

320 Micbeth Dr
Princeton, KY 42445-6332

Phone

(270) 265-3433

NPI assigned

Feb 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Deborah Jean Stovall Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennyroyal Healthcare Services, IncGroup PAC ID 6002076700, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051
• Caldwell Medical Center Hospital, Princeton, KY, CCN 181322

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pennyroyal Healthcare Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hopkinsville, KY
  • NPI 1124319942
  Medicare reassignment Care Compare group NPD
• Pennyroyal Healthcare Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Hopkinsville, KY
  • NPI 1104532332
  NPD

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

• Caldwell County Hospital, Inc

  • Occupational Medicine Physician
  • Princeton, KY
  • NPI 1780688333

  Hospital

  Care Compare affiliation
• Jennie Stuart Medical Center Inc

  • General Acute Care Hospital
  • Hopkinsville, KY
  • NPI 1235139312
  Care Compare affiliation

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1366908519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MICBETH DR",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424456332",
            "telephone_number": "270-365-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MICBETH DR",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424456332",
            "telephone_number": "270-265-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C6150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "STOVALL",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelby Rose Spencer
• Emory P. Spradlin, DMD
• Martiza Chantay Stallins, APRN
• Brian G Steip, P.T.
• Carie Stephens
• Edward Syndor
• Anita M. Talley, M.S., CCC-SLP
• Daniel A Talley, O.D.
• Molly Thomas
• Sara Elisabeth Tittle

• Family Nurse Practitioner in Princeton, KY
• Providers in Princeton, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.