Active NPI
Stacey Elizabeth Merritt-Jenney, MD
- Emergency Medicine Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 28829
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000185657 | Other | KY | ANTHEM |
| 64018880 | Medicaid | KY | |
| 200009620 | Medicaid | IN | |
| 1124516 | Other | KY | PASSPORT |
| 2437324000 | Other | KY | PASSPORT ADVANTAGE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smerrittjenney@hosparus.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Guide Partners Inc | Current | Accepting new patients | |
| Care Guide Partners Inc | Current | Accepting new patients | |
| Hosparus Inc. | Current | 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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Louisville, KY
- NPI 1457735805
-
- Internal Medicine Physician
- New Albany, IN
- NPI 1235612474
-
- Community Based Hospice Care Agency
- New Albany, IN
- NPI 1336295310
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1285760371
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Louisville, KY
- NPI 1639193113
-
- Emergency Care Clinic/Center
- Louisville, KY
- NPI 1942362058
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1801833140
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1194704866
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.