NPIMap

Individual provider Active NPI

Stacy Koch, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1427488329
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008157 Issued in KY
Practice address
9541 Westport Road
Suite 122-B
Louisville, KY 40241-2295
Phone
(502) 559-3636
Fax
(502) 666-7557
NPI assigned
Nov 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 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 3008157 KY Primary

Addresses

Primary practice location

9541 Westport Road
Suite 122-B
Louisville, KY 40241-2295

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 3

IdentifierTypeStateIssuer
201330480MedicaidIN
7100278170MedicaidKY
50063908OtherKYPASSPORT

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
I20140224001072 KY Practitioner - Nurse Practitioner 7719117563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

1230 Market St
La Grange, KY 40031-7986

202 Limestone St S
Frankfort, KY 40601-4320

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

9451 Westport Rd
Louisville, KY 40241-2295

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008157KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Family CurrentSince Jan 11, 2014 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 11, 2014 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

1230 Market St
Ste A
La Grange, KY 40031
Phone (502) 225-6900

3594 Springhurst Blvd
Louisville, KY 40241
Phone (502) 339-4700

9451 Westport Rd
Ste 122B
Louisville, KY 40241
Phone (502) 559-3636

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

210 E Gray St
Ste 700
Louisville, KY 40202
Phone (502) 629-5400

850 S 28th St
Ste 102
Louisville, KY 40211
Phone (502) 629-5400

300 High Point Ct
Ste B
Mt Washington, KY 40047
Phone (502) 955-6129

Interoperability endpoints

  • Direct secure messaging: skoch47790@direct.nortonhealthcare.org

Organizations & group practices 4

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1427488329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9541 WESTPORT ROAD",
            "address_2": "SUITE 122-B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412295",
            "telephone_number": "502-559-3636",
            "fax_number": "502-666-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "STACY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201330480",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100278170",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50063908",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.