Individual provider Active NPI

Stacey Elizabeth Merritt-Jenney, MD

  • Emergency Medicine Physician
  • Louisville, KY
National Provider Identifier
1467568741
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
28829 Issued in KY
Practice address
6200 Dutchmans LN
Louisville, KY 40205-3271
Phone
(502) 456-6200
Fax
(502) 456-6655
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X 28829 KY
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X 01041029A IN
Emergency Medicine Physician 207P00000X 28829 KY Primary
Emergency Medicine Physician 207P00000X 01041029A IN

Addresses

Primary practice location

6200 Dutchmans LN
Louisville, KY 40205-3271

Mailing address

6200 Dutchmans LN
Louisville, KY 40205-3269
Phone (502) 456-6200

Other identifiers 5

IdentifierTypeStateIssuer
000000185657OtherKYANTHEM
64018880MedicaidKY
200009620MedicaidIN
1124516OtherKYPASSPORT
2437324000OtherKYPASSPORT ADVANTAGE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smerrittjenney@hosparus.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190104000865 IN Practitioner - Emergency MedicinePractitioner - Hospice/Palliative Care 6204879430 Reassigns benefits to 2 organizations
I20191209000661 KY Practitioner - Hospice/Palliative CarePractitioner - Emergency Medicine 6204879430 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Care Guide Partners Inc CurrentSince Sep 21, 2019 Accepting new patients
Care Guide Partners Inc CurrentSince Sep 22, 2018 Accepting new patients
Hosparus Inc. CurrentSince May 28, 2019 Accepting new patients
Kentuckiana Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Emergency Medical Associates, PSC Emergency Medicine Past Accepting new patients
Kentuckiana Emergency Physicians Past Accepting new patients
Southern Emergency Medical Specialists, P.S.C. Emergency Medicine Past Accepting new patients
Hosparus Palliative Care Inc. Past Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Past Accepting new patients

Locations

502 Hausfeldt Ln
New Albany, IN 47150
Phone (502) 456-6200

3532 Ephraim McDowell Dr
Louisville, KY 40205
Phone (502) 456-6200

6200 Dutchmans Ln
Louisville, KY 40205
Phone (502) 456-6200

6200 Dutchmans Ln
Ste 200
Louisville, KY 40205
Phone (502) 456-6200

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1467568741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053269",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053271",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT-JENNEY",
        "first_name": "STACEY",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "28829",
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "IN",
            "license": "01041029A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "28829",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01041029A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000185657",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64018880",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200009620",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1124516",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2437324000",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smerrittjenney@hosparus.org",
            "affiliation": "N",
            "address_1": "6200 Dutchmans Ln",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.