Stacey B. Fazenbaker, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35999 Issued in KY

Practice address

444 S Main St
Madisonville, KY 42431-2846

Phone

(270) 821-4444

NPI assigned

Mar 28, 2006

Last updated

Dec 10, 2025By the provider in NPPES

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

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Specialty

Family Practice

Education

University of Louisville School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Owensboro Health Medical Group IncGroup PAC ID 0648255034, 455 clinicians

Owensboro Health, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
• Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sfazenbaker4786@direct.owensborohealth.org

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.

• Owensboro Health Medical Group Inc

  dba Owensboro Health Muhlenberg Community Hospital Wound Center

  • Surgery Physician
  • Greenville, KY
  • NPI 1235518242
  Medicare reassignment Care Compare group NPD
• Summit Medical Specialists PSC

  • Obstetrics & Gynecology Physician
  • Owensboro, KY
  • NPI 1861928228

  Family Medicine

  Medicare reassignment NPD
• Owensboro Health Medical Group, Inc

  dba Owensboro Health Medical Group - Orthopedics & Sports Medicine

  • Foot & Ankle Surgery Podiatrist
  • Owensboro, KY
  • NPI 1154738987
  NPD
• Commonwealth Biomedical Research, LLC

  • Family Medicine Physician
  • Crofton, KY
  • NPI 1790920825
  NPD (past)
• Greenville Ky Opco LLC

  dba Maple Health and Rehabilitation

  • Skilled Nursing Facility
  • Greenville, KY
  • NPI 1730748914
  NPD (past)
• Madisonville Health and Rehabilitation LLC

  dba Madisonville Health and Rehabilitation

  • Skilled Nursing Facility
  • Madisonville, KY
  • NPI 1700369576
  NPD (past)
• George S Gilliam MD PSC

  • Specialist
  • Rockport, IN
  • NPI 1891856167
  NPD (past)

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

• Baptist Health Deaconess Madisonville Inc

  dba Baptist Health Deaconess Madisonville

  • Rural Acute Care Hospital
  • Madisonville, KY
  • NPI 1447231956
  Care Compare affiliation
• Owensboro Health Inc

  dba Owensboro Health Regional Hospital

  • General Acute Care Hospital
  • Owensboro, KY
  • NPI 1285613612
  Care Compare affiliation

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1487615787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312846",
            "telephone_number": "270-821-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Frederica St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423016085",
            "country_code": "US",
            "telephone_number": "270-297-9075",
            "fax_number": "270-297-9077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Ayer Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424318999",
            "country_code": "US",
            "telephone_number": "270-825-8345",
            "fax_number": "270-825-2975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAZENBAKER",
        "first_name": "STACEY",
        "middle_name": "B.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "35999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6402415100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH BIOMEDICAL RESEARCH GROUP PTAN",
            "identifier": "7570",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAL LICENSE NUMBER",
            "identifier": "35999",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000811728",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfazenbaker4786@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "240 Ayer Pkwy E",
            "city": "Madisonville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424318999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amira Faizal-Vincent
• Laura Ann Farley, PTA
• John J. Farmer, M. D.
• Fast Pace Kentucky PLLC (Fast Pace Health)
• Fast Pace Kentucky, PLLC
• Michael Fisher, DO
• Sarah Fisher, MD
• Donald L Fishman, CRNA
• Mary Susan Fishman, CRNA
• Mark J Fitzmaurice, MD

• Family Medicine Physician in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.