Stacy Robertson, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3015980 Issued in KY

Practice address

832 Highway 15 N
Jackson, KY 41339-8284

Phone

(606) 666-5142

Fax

(606) 666-4172

NPI assigned

Mar 30, 2021

Last updated

Apr 6, 2026By 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 1

Other names 1

• Stacy Lovins Former name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pediatric AssociatesGroup PAC ID 9436147048, 9 clinicians

Aaron K. Jonan Memorial Clinic, Inc.Group PAC ID 5294632196, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pediatric Associates

  dba Red River Health Care

  • Rural Health Clinic/Center
  • Stanton, KY
  • NPI 1013954510
  Medicare reassignment Care Compare group NPD
• Aaron K. Jonan Memorial Clinic Inc.

  dba Aaron Jonan Memorial Clinic

  • Rural Health Clinic/Center
  • Jackson, KY
  • NPI 1477569226
  Medicare reassignment Care Compare group
• Frontier Behavioral Health Center PLLC

  • Multi-Specialty Clinic/Center
  • Salyersville, KY
  • NPI 1295287118
  Medicare reassignment NPD
• Frontier Medical Associates of Paintsville Inc

  • Rural Health Clinic/Center
  • Paintsville, KY
  • NPI 1568070142
  Medicare reassignment NPD
• Salyersville Medical Center, LLC

  • Rural Health Clinic/Center
  • Salyersville, KY
  • NPI 1215984711
  Medicare reassignment NPD
• Pediatric Associates

  dba Pediatric Associates of Hazard

  • Rural Health Clinic/Center
  • Hazard, KY
  • NPI 1487600615
  NPD
• Pediatric Associates

  dba Pediatric Associates of Pikeville, LLC

  • Rural Health Clinic/Center
  • Pikeville, KY
  • NPI 1851348338
  NPD

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1861070989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321C E COLLEGE AVE",
            "city": "STANTON",
            "state": "KY",
            "postal_code": "403802325",
            "telephone_number": "606-663-9797",
            "fax_number": "606-663-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 HIGHWAY 15 N",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398284",
            "telephone_number": "606-666-5142",
            "fax_number": "606-666-4172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 N Main St",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "417011278",
            "country_code": "US",
            "telephone_number": "606-439-4865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321C E College Ave",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "KY",
            "postal_code": "403802325",
            "country_code": "US",
            "telephone_number": "606-663-9797",
            "fax_number": "606-663-9470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "156 Island Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415019340",
            "country_code": "US",
            "telephone_number": "606-432-3221",
            "fax_number": "606-432-7087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "268 E Maple St",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414658032",
            "country_code": "US",
            "telephone_number": "606-349-5300",
            "fax_number": "606-349-5312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "STACY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3015980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100773010",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "LOVINS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeremy Lee Price, PHARM D
• Rebecca Ratliff
• RG Diagnostics
• Jada Rice
• Brian Douglas Roark, PHARMD
• Nolan Sakow, MD
• Karen J Sallee, LCSW
• Frank Wayne Sizemore, MS CCC-SLP
• Alan K Sloas, APRN
• Alicia Smith

• Psychiatric/Mental Health Nurse Practitioner in Jackson, KY
• Providers in Jackson, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.