MEDICARE: STACEY HISER ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	3005366	KY
2	163W00000X	Registered Nurse	1103814	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000656939	OTHER		ANTHEM BC & BS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1235323338	OTHER	KY	NPI

General Provider Information

NPI Number	:	1235323338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACEY HISER ARNP

Provider Business Mailing Address
First Line	:	4600 MONTOGMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212
Country	:	US
Telephone Number	:	833-510-4357
Fax Number	:	866-460-2997

Provider Business Practice Location Address
First Line	:	621 HAPPY VALLEY RD
Second Line	:
City	:	GLASGOW
State	:	KY
Zip	:	42141-2416
Country	:	US
Telephone Number	:	833-510-4357
Fax Number	:	866-460-2997

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2007
Last Update Date	:	05/23/2024

Similar Medicare Providers

1063579225 — BARREN COUNTY BOARD OF EDUCATION
Practice Location Address:

202 W WASHINGTON ST
GLASGOW, KY
42141-2416

Practice Phone: 270-651-3787
Practice Fax: 270-651-8836

1639579428 — TURNING POINT COUNSELING CENTER
Practice Location Address:

220 W WASHINGTON ST
GLASGOW, KY
42141-2416

Practice Phone: 270-659-2823
Practice Fax: 270-659-0534

1417013327 — COUNTY OF VALLEY
Practice Location Address:

500 4TH AVE S
GLASGOW, MT
59230-2416

Practice Phone: 406-228-6261
Practice Fax: 406-228-6242

1538842885 — MICHELLE OZARK FNP-C
Practice Location Address:

500 4TH AVE S
GLASGOW, MT
59230-2416

Practice Phone: 406-698-0162
Practice Fax:

1154825289 — SHAMMI A PATEL DO
Practice Location Address:

310 N L ROGERS WELLS BLVD
GLASGOW, KY
42141-1300

Practice Phone: 270-659-5990
Practice Fax: 270-659-5947

1932907144 — BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Practice Location Address:

401 S L ROGERS WELLS BLVD
GLASGOW, KY
42141

Practice Phone: 270-261-5640
Practice Fax: 270-261-5643

Directions to “ STACEY HISER ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.