MISS STACY MICHELLE LISTER ARNP- FNP-C NPI 1649047143

NPI Information

  • NPI: 1649047143
  • Provider Name: MISS STACY MICHELLE LISTER, ARNP- FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 SE DESTINATION DR
    GRIMES, IA
    ZIP 50111
  • Phone: (515) 986-4524

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NPI Details

MISS Stacy Michelle Lister, ARNP- FNP-C is a family nurse practitioner in Grimes, IA with 2 years of experience. MISS Stacy Michelle Lister, ARNP- FNP-C NPI is 1649047143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 SE DESTINATION DR
GRIMES, IA
ZIP 50111-608
Phone: (515) 986-4524
Fax: (515) 986-4531

The NPI 1649047143 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 enumeration date for this NPI number is 12/5/2023 and was last updated on 12/5/2023.

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 PractitionerFamilyA176205IOWAYes

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: 3/30/2025

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