Individual provider Active NPI

Stacy Bickett, FNP

  • Family Nurse Practitioner
  • Batavia, OH
National Provider Identifier
1871923797
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.15324 Issued in OH
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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 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

IdentifierTypeStateIssuer
0094020MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131205001879 OH Practitioner - Nurse Practitioner 6002043650 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.15324OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview, LLC CurrentSince Jan 27, 2020 Accepting new patients
Brightview LLC CurrentSince Jan 27, 2020 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.

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

Verify at the official NPI Registry.