Individual provider Active NPI

Stacey Lynn Hess, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clarinda, IA
National Provider Identifier
1508623778
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G178441 Issued in IA
Practice address
216 W Division St
Clarinda, IA 51632-2509
Phone
(712) 542-2388
Fax
(712) 542-2984
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G178441 IA Primary

Addresses

Primary practice location

216 W Division St
Clarinda, IA 51632-2509

Mailing address

216 W Division St
Clarinda, IA 51632-2509
Phone (712) 542-2388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402003352 IA Practitioner - Nurse Practitioner 7517304314 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Health - Mercy Hospital Corning IowaGroup PAC ID 0547154940, shared by 6 NPIs, 20 clinicians

Practice addresses (Care Compare)

601 Rosary Dr
Corning, IA 50841-1683
Phone (641) 322-5245

Hospital & facility affiliations

  • CHI Health - Mercy Corning Hospital, Corning, IA, CCN 161304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G178441IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Health - Mercy Hospital, Corning, Iowa CurrentSince Jan 1, 2025 Accepting new patients
Alegent Health - Mercy Hospital, Corning Iowa Current Accepting new patients
Waubonsie Mental Health Center Inc CurrentSince May 8, 2024 Accepting new patients
Alegent Health Mercy Hospital Corning, Iowa CurrentSince Jan 1, 2025 Accepting new patients
Alegent Health - Mercy Hospital, Corning Iowa Current Accepting new patients

Locations

216 W Division St
Clarinda, IA 51632
Phone (712) 542-5676

603 Rosary Dr
Corning, IA 50841
Phone (641) 322-3121

601 Rosary Dr
Corning, IA 50841
Phone (641) 322-5245

210 S Main St
Lenox, IA 50851
Phone (641) 333-2266

1000 N Broadway St
#A2
Red Oak, IA 51566

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

Organizations & group practices 5

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 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": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1508623778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W DIVISION ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322509",
            "telephone_number": "712-542-2388",
            "fax_number": "712-542-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W DIVISION ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322509",
            "telephone_number": "712-542-2388",
            "fax_number": "712-542-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G178441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarinda, IA

Sources for this page

Verify at the official NPI Registry.