Individual provider Active NPI

Stacey R Walden, APRN

  • Primary Care Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1811533862
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
3013661 Issued in KY
Practice address
4806 Redmon CT
Louisville, KY 40291-1449
Phone
(502) 643-5741
NPI assigned
Nov 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3013661 KY
Family Nurse Practitioner 363LF0000X 3013661 KY
Primary Care Nurse Practitioner 363LP2300X 3013661 KY Primary

Addresses

Primary practice location

4806 Redmon CT
Louisville, KY 40291-1449

Mailing address

4806 Redmon CT
Louisville, KY 40291-1449
Phone (502) 643-5741

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/
Direct Messaging Address swalden46036@direct.nortonhealthcare.org

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200430001468 KY Practitioner - Nurse Practitioner 8022448265 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starting Point of Kentucky, PSCGroup PAC ID 6709212772, 4 clinicians

Practice addresses (Care Compare)

12610 Townepark Way
Louisville, KY 40243-2068
Phone (800) 805-6989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3013661KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Mar 1, 2020 Accepting new patients
Crossroads Treatment Center of Ashland, PSC CurrentSince Nov 4, 2024 Accepting new patients
Starting Point of Kentucky, PSC CurrentSince Nov 5, 2024 Accepting new patients
Crossroads Treatment Center of Northern Kentucky, PSC CurrentSince Nov 4, 2024 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
Crossroads Treatment Center of Louisville, PSC CurrentSince Nov 4, 2024 Accepting new patients
Starting Point of Kentucky, PSC Current Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince May 1, 2020 Accepting new patients
Crossroads Treatment Center of Somerset, PSC CurrentSince Nov 4, 2024 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince May 1, 2020 Accepting new patients
Starting Point of Kentucky, PSC CurrentSince Nov 5, 2024 Accepting new patients

Locations

1220 Greenup Ave
Ashland, KY 41101
Phone (606) 393-1165

306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295

1974 Walton Nicholson Pike
Independence, KY 41051
Phone (859) 356-6800

210 E Gray St
Ste 1105
Louisville, KY 40202
Phone (502) 583-1609

1700 Cargo Ct
Louisville, KY 40299
Phone (502) 749-6764

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

12610 Townepark Way
Middletown, KY 40243
Phone (800) 805-9689

607 Clifty St
Somerset, KY 42503
Phone (606) 485-4730

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 11

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": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1811533862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 REDMON CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911449",
            "telephone_number": "502-643-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4806 REDMON CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911449",
            "telephone_number": "502-643-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "STACEY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013661",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013661",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3013661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "210 E Gray St Ste 1105",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402023907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swalden46036@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "210 E Gray St Ste 1105",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402023907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.