STACY HOLLEY FNP NPI 1144647652

NPI Information

  • NPI: 1144647652
  • Provider Name: STACY HOLLEY, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 107 E MAIN ST
    GRAYSON, KY
    ZIP 41143
  • Phone: (606) 474-0244

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NPI Details

Stacy Holley, FNP is a family nurse practitioner in Grayson, KY with 14 years of experience. Stacy Holley, FNP NPI is 1144647652. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

107 E MAIN ST
GRAYSON, KY
ZIP 41143-301
Phone: (606) 474-0244
Fax: (606) 474-0412

The NPI 1144647652 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
  • Hospital observation care on day of discharge (HCPCS:99217)
  • Follow-up observation care per day, typically 35 minutes (HCPCS:99226)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)

The enumeration date for this NPI number is 3/21/2014 and was last updated on 9/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily84657WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10102228MEDICAIDOHIO
23053133OTHERWEST VIRGINIABCBS
37100295790MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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