Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Stacey L Smith , FNP

Nurse Practitioner • Sullivan, IN

Active NPI 1912947169 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2229 Mary Sherman Dr
Sullivan, IN 478827633

Call 8122683318 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2229 Mary Sherman Dr

Sullivan, IN 478827633

Telephone 8122683318
Fax 8122684017
Organization at the Same NPPES Address or Phone
Sullivan Family Practice, Llc Facility NPI 1770502981

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Sullivan County Community Hospital. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1992

Medicare-allowed amount

About $1,169 in 2021

The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.

Paid by Medicare

About $1,169 in 2021

The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.

30-day fills

12,459 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$518,915 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $464.46 across 26 records.

By nature of payment

  • Food and Beverage: $464.46 across 26 records.

Reporting-company totals (3 largest of 6)

  • Eli Lilly and Company: $194.88 across 10 records.
  • Novo Nordisk Inc: $170.60 across 11 records.
  • Takeda Pharmaceuticals U.S.A., Inc.: $39.42 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

34 years (graduated 1992)

CMS Doctors and Clinicians data list 1992 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Stacey Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Stacey Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Sullivan and Indiana

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Indiana (2024, 1,448 clinicians with data). Median for this group: 494. Middle half: 122 to 1,811.

Too few clinicians listed under Nurse Practitioner in Sullivan have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Indiana (2024, 1,448 clinicians with data). Median for this group: $35,570. Middle half: $1,755 to $208,754.

Too few clinicians listed under Nurse Practitioner in Sullivan have Medicare Part D data for 2024 to compare.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Stacey Smith are from 2021.

5 active clinicians are listed under Nurse Practitioner with a practice address in Sullivan, IN (2,582 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 26 records totaling $464.46.

Manufacturer Payment Nature Product Type Amount ($)
Eli Lilly and Company
Food and Beverage
Cash or cash equivalent
ZEPBOUND General $121.60
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $86.75
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
INVEGA SUSTENNA General $23.36
COLOPLAST CORP
Food and Beverage
In-kind items and services
Altis General $21.04
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ICLUSIG General $20.00
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
NINLARO General $19.42
AtriCure, Inc.
Food and Beverage
In-kind items and services
SYNERGY ABLATION SYSTEM General $15.16
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $12.96
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $12.27
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $11.90
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $10.90
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Rybelsus General $9.58
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $9.57
Novo Nordisk Inc
Food and Beverage
In-kind items and services
— General $8.86
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $8.64
Novo Nordisk Inc
Food and Beverage
In-kind items and services
— General $8.45
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Rybelsus General $7.91
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $7.67
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Rybelsus General $7.30
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $6.99
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $6.90
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Rybelsus General $6.86
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $6.81
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $6.52
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $6.15

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2021.

CMS Part B · Data Year 2021
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2017 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2018; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
11 11 $562.00 $106.25

Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Levothyroxine Sodium Levothyroxine Sodium 217 15,566 $1,326.62 51
Lisinopril Lisinopril 210 14,848 $1,135.56 52
Alprazolam Alprazolam 195 5,697 $929.78 28
Atorvastatin Calcium Atorvastatin Calcium 162 12,570 $1,316.39 49
Omeprazole Omeprazole 162 11,701 $1,839.67 47
Ozempic Semaglutide 150 6,262 $158,964.13 28
Fenofibrate Fenofibrate Nanocrystallized 144 8,809 $3,005.75 34
Potassium Chloride Potassium Chloride 137 8,870 $3,180.73 38
Montelukast Sodium Montelukast Sodium 134 9,104 $1,010.79 33
Amlodipine Besylate Amlodipine Besylate 128 10,076 $719.22 41
Pantoprazole Sodium Pantoprazole Sodium 127 9,020 $1,277.19 32
Gabapentin Gabapentin 124 5,812 $1,730.36 25
Rosuvastatin Calcium Rosuvastatin Calcium 124 7,982 $893.92 29
Metformin Hcl Metformin Hcl 121 8,920 $626.69 31
Albuterol Sulfate Hfa Albuterol Sulfate 119 2,228 $1,588.15 33
Furosemide Furosemide 118 8,405 $433.31 37
Prednisone Prednisone 111 2,144 $177.40 61
Januvia Sitagliptin Phosphate 111 4,154 $73,025.45 16
Pravastatin Sodium Pravastatin Sodium 110 8,204 $1,558.37 22
Meloxicam Meloxicam 101 5,348 $417.09 22
Alendronate Sodium Alendronate Sodium 95 6,034 $531.30 23
Escitalopram Oxalate Escitalopram Oxalate 94 5,612 $975.70 22
Trazodone Hcl Trazodone Hcl 93 5,430 $555.32 21
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 90 2,655 $776.07 26
Sertraline Hcl Sertraline Hcl 88 6,000 $465.79 21

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-27
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IN 71000086A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20140221000739

Enrollment State Jurisdiction

IN

PECOS Control ID

6103056080

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Sullivan County Community Hospital

2229 Mary Sherman Dr, Sullivan, IN 478827633

Phone: 8122683318

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Dr. Sharif Abdelfattah , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1639605637

Doctor of Podiatric Medicine

Dr. Shan Antony , MD

Family Medicine

NPI 1093444382

Doctor of Medicine (M.D.)

Terri Brown , NP

Nurse Practitioner - Family

NPI 1053576405

Nurse Practitioner

Dr. Carl Conwell , MD

Family Medicine

NPI 1952304123

Doctor of Medicine (M.D.)

Dr. Ernest Dupre , MD

Family Medicine

NPI 1992708192

Doctor of Medicine (M.D.)

Dr. Dustin Ellis , MD

Family Medicine

NPI 1962658989

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated June 07, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1912947169
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2006
Last Update: April 27, 2021
Sole Proprietor: No

Other Nurse Practitioners in Sullivan

Mailing Address

2229 Mary Sherman Dr, Po Box 230

Sullivan, IN 478827633

Phone: 8122683318

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.