Individual provider Active NPI

Stefanie K Lacy, CRNA

  • Certified Registered Nurse Anesthetist
  • Hopkinsville, KY
National Provider Identifier
1427329523
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3007302 Issued in KY
Practice address
103 W 18TH St
Hopkinsville, KY 42240-1960
Phone
(270) 885-1640
Fax
(270) 889-0628
NPI assigned
Jan 20, 2012
Last updated
Feb 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3007302 KY Primary

Addresses

Primary practice location

103 W 18TH St
Hopkinsville, KY 42240-1960

Mailing address

103 W 18TH St
Hopkinsville, KY 42240-1960
Phone (270) 885-1640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000347 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416111992 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians

Practice addresses (Care Compare)

320 W 18TH St
Hopkinsville, KY 42240-1965
Phone (270) 887-0100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 24, 2022 Accepting new patients
Trigg County Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2019 Accepting new patients
Trigg County Hospital, Inc CurrentSince Nov 15, 2019 Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Oct 24, 2022 Accepting new patients
S4 Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
Covenant Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
Christian Co Anesthesia Past Accepting new patients
U S Anesthesia Partners of Kentucky PSC Nurse Anesthetist, Certified Registered PastSince Jul 1, 2023 Accepting new patients
Todd Oller Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Christian County Anesthesia, PLLC Past Accepting new patients

Locations

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

1724 Kenton St
Ste 1A
Hopkinsville, KY 42240
Phone (270) 707-8077

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1427329523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W 18TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401960",
            "telephone_number": "270-885-1640",
            "fax_number": "270-889-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W 18TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401960",
            "telephone_number": "270-885-1640",
            "fax_number": "270-889-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "STEFANIE",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3007302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.