NPIMap

Individual provider Active NPI

Stacy D Bond, APRN, FNP-C

  • Nurse Practitioner
  • Olive Hill, KY
National Provider Identifier
1750793576
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3008648 Issued in KY
Practice address
155 Bricklayer St
Olive Hill, KY 41164
Phone
(606) 286-4152
Fax
(606) 286-2385
NPI assigned
May 28, 2014
Last updated
May 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3008648 KY Primary
Family Nurse Practitioner 363LF0000X 3008648 KY

Addresses

Primary practice location

155 Bricklayer St
Olive Hill, KY 41164

Mailing address

PO Box 1268
Olive Hill, KY 41164-1268
Phone (606) 286-4152

Other identifiers 1

IdentifierTypeStateIssuer
7100332500MedicaidKY

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
I20161005002854 KY Practitioner - Nurse Practitioner 2567687437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Practice addresses (Care Compare)

155 Bricklayer St
Olive Hill, KY 41164-1268
Phone (606) 286-4152

390 Ky Hwy 7 S
Sandy Hook, KY 41171-0748
Phone (606) 738-5155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.64 of 100Reported as group
Quality
56.63
Improvement activities
40
Cost
74.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008648KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Claire Medical Center, Inc Current Accepting new patients
St. Claire Medical Center, Inc Current Accepting new patients
St Claire Medical Center, Inc Current Accepting new patients
St. Claire Medical Center, Inc Nurse Practitioner Current Accepting new patients
St. Claire Medical Center,Inc Current Accepting new patients
St Claire Medical Center, Inc CurrentSince Apr 1, 2017 Accepting new patients
St. Claire Medical Center, Inc Nurse Practitioner Current Accepting new patients
St. Claire Medical Center,Inc Current Accepting new patients
St Claire Regional Radiology Physicians Services Current Accepting new patients
St Claire Medical Center, Inc., Nurse Practitioner CurrentSince Apr 1, 2017 Accepting new patients
St Claire Medical Center, Inc., Family Current Accepting new patients
St. Claire Medical Center, Inc Past Accepting new patients

Locations

732 Highway 36
Frenchburg, KY 40322
Phone (606) 768-2191

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

245 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 780-5500

316 W 2nd St
Morehead, KY 40351
Phone (606) 783-6400

405 Clinic Dr
Morehead, KY 40351

555 W Sun St
Morehead, KY 40351
Phone (606) 207-2931

632 Slate Ave
Owingsville, KY 40360
Phone (606) 674-6386

390 S Ky 7
Sandy Hook, KY 41171
Phone (606) 738-5155

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1750793576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "411641268",
            "telephone_number": "606-286-4152",
            "fax_number": "606-286-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BRICKLAYER ST",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "41164",
            "telephone_number": "606-286-4152",
            "fax_number": "606-286-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "STACY",
        "middle_name": "D",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008648",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008648",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100332500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Hill, KY

Sources for this page

Verify at the official NPI Registry.