Active NPI
Stacey Snyder Pannell, FNP
- Family Nurse Practitioner
- Canton, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3001825
- Practice address
- 1668 West Peace Street
Canton, MS 39046 - Phone
- (601) 859-5213
- Fax
- (601) 859-8771
- NPI assigned
- Nov 30, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R814593 | MS | |
| Family Nurse Practitioner | 363LF0000X | 3001825 | AL | Primary |
Addresses
Primary practice location
1668 West Peace Street
Canton, MS 39046
Mailing address
422 Berkshire Dr
Ridgeland, MS 39157-3622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03309595 | Medicaid | MS |
Other names 1
- Stacey Snyder Ingram
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 14TH Ave SE
Decatur, AL 35601-4364
Phone (256) 355-6911
500 John Aldridge Dr
Tuscumbia, AL 35674-3000
Phone (256) 383-4541
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.38 of 100
- Quality
- 54.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R814593 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alignmed Medical Group, PC | Current | Accepting new patients | |
| Baptist Medical Center - Yazoo, Inc | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| Alignmed Partners, PC | Current | Accepting new patients | |
| Baptist Medical Center - Yazoo, Inc | Current | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Current | Accepting new patients | |
| Trustcare Primary Care, LLC | Past | Accepting new patients |
Locations
1350 14th Ave SE
Decatur, AL 35601
Phone (256) 355-6911
420 Dean Dr
Gardendale, AL 35071
Phone (205) 631-8700
500 John Aldridge Dr
Tuscumbia, AL 35674
Phone (256) 373-4541
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016
401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383
823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 10
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1366289423
AL
-
- Critical Access Hospital
- Yazoo City, MS
- NPI 1619918075
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
-
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
-
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1598181349
-
- Medicare Defined Swing Bed Hospital Unit
- Yazoo City, MS
- NPI 1063620870
-
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
- Geriatric Medicine (Internal Medicine) Physician
- Towson, MD
- NPI 1699280511
-
- Family Medicine Physician
- Madison, MS
- NPI 1174078554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1831267756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 BERKSHIRE DR",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391573622",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1668 WEST PEACE STREET",
"city": "CANTON",
"state": "MS",
"postal_code": "39046",
"telephone_number": "601-859-5213",
"fax_number": "601-859-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANNELL",
"first_name": "STACEY",
"middle_name": "SNYDER",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R814593",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "3001825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03309595",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STACEY",
"last_name": "INGRAM",
"middle_name": "SNYDER",
"credential": "FNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Canton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.