Stacy K Nelson, APRN-NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

111362 Issued in NE

Practice address

110 N 29TH St
Suite 201
Norfolk, NE 68701-4424

Phone

(402) 844-8284

Fax

(402) 844-8175

NPI assigned

Sep 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

University of Nebraska College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Faith Health Hospital, Norfolk, NE, CCN 280125
• Avera St Anthony's Hospital Hospital, O' Neill, NE, CCN 281329
• Antelope Memorial Hospital Hospital, Neligh, NE, CCN 281326

Merit-based Incentive Payment System (MIPS)

Final score

89.03 of 100Reported as group

Quality

63.42

Promoting interoperability

100

Improvement activities

40

Cost

100

Merit-based Incentive Payment System (MIPS)

Final score

80.77 of 100Reported as group

Quality

67.03

Promoting interoperability

96

Improvement activities

40

Cost

72.22

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Faith Regional Physician Services, LLC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1265489157
  Medicare reassignment Care Compare group
• City of Genoa

  • Primary Care Clinic/Center
  • Genoa, NE
  • NPI 1104859206
  Medicare reassignment NPD
• City of Genoa

  dba Loup Valley Health Care

  • Multi-Specialty Clinic/Center
  • Fullerton, NE
  • NPI 1386157071
  NPD
• City of Genoa

  • Rural Health Clinic/Center
  • Genoa, NE
  • NPI 1720505522
  NPD (past)

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

• Antelope Memorial Hospital

  • Critical Access Hospital
  • Neligh, NE
  • NPI 1083790893
  Care Compare affiliation
• Avera St Anthonys Hospital

  • Critical Access Hospital
  • O'Neill, NE
  • NPI 1891738936
  Care Compare affiliation
• Faith Regional Health Services

  dba Faith Health

  • General Acute Care Hospital
  • Norfolk, NE
  • NPI 1285676544
  Care Compare affiliation

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1386994325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 29TH ST",
            "address_2": "SUITE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014424",
            "telephone_number": "402-844-8284",
            "fax_number": "402-844-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 29TH ST",
            "address_2": "SUITE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014424",
            "telephone_number": "402-844-8284",
            "fax_number": "402-844-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STACY",
        "middle_name": "K",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "111362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Leigh Nelson, R.N.
• Jaxon Nelson
• Jennifer L. Nelson, ED.S.
• Julie A Nelson, RN
• Mark David Nelson, ED.D
• Tianna Nelson
• Trever James Nelson, PLMHP
• Melissa L Nemec
• Kristen Michelle Neuhalfen, LIMHP, LICSW, LADC
• Britney Ruth Ann Neuharth

• Acute Care Nurse Practitioner in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Acute Care Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.