Active NPI
Stacy Bickett, FNP
- Family Nurse Practitioner
- Batavia, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.15324
- Practice address
- 1100 Hospital Dr
Batavia, OH 45103-1920 - Phone
- (513) 834-7063
- Fax
- (513) 873-1567
- NPI assigned
- Nov 13, 2013
- Last updated
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.15324 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.15324 | OH | Primary |
Addresses
Primary practice location
1100 Hospital Dr
Batavia, OH 45103-1920
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357
Other practice location 1
2055 Hospital Drive
Suite 1
Batavia, OH 45103-1978
Phone (513) 732-0870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0094020 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.15324 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightview, LLC | Current | Accepting new patients | |
| Brightview LLC | Current | Accepting new patients |
Locations
1100 Hospital Dr
Batavia, OH 45103
Phone (513) 732-6001
446 Morgan St
Cincinnati, OH 45206
Phone (513) 834-0763
4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269
6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000
540 Griswold Rd
Elyria, OH 44035
5108 Sandy Ln
Fairfield, OH 45014
Phone (513) 234-5959
421 Home St
Georgetown, OH 45121
Phone (937) 378-7510
4483 US N 42
Mason, OH 45040
Phone (513) 536-0050
5850 Ridge Rd
Parma, OH 44129
Phone (440) 502-5117
1405 11th St
Portsmouth, OH 45662
Phone (513) 834-4063
485 W Main St
Wilmington, OH 45177
Phone (866) 656-6514
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1871923797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600",
"telephone_number": "833-510-4357",
"fax_number": "513-873-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 HOSPITAL DR",
"city": "BATAVIA",
"state": "OH",
"postal_code": "451031920",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
}
],
"practiceLocations": [
{
"address_1": "2055 Hospital Drive",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "Batavia",
"state": "OH",
"postal_code": "451031978",
"country_code": "US",
"telephone_number": "513-732-0870",
"fax_number": "513-732-0873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BICKETT",
"first_name": "STACY",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-13",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.15324",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.15324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0094020",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Batavia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.