Stacey Roussell, MD
NPI 1770629099 · Pediatrics Physician · Louisville, KY
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacey Roussell, MD is a Pediatrics Physician provider in Louisville, KY (NPI 1770629099).
Provider details
- NPI number
- 1770629099
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 35005 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2024-05-08
- Certified
- 2024-05-08
Frequently asked questions
- What is Stacey Roussell's NPI number?
- Stacey Roussell's National Provider Identifier (NPI) is 1770629099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Roussell's specialty?
- Stacey Roussell is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Stacey Roussell located?
- Stacey Roussell's practice location on file with NPPES is 439 Country Ln, Louisville, KY 40207-1803.
- What is Stacey Roussell's phone number?
- The practice phone number listed in the NPPES registry for Stacey Roussell is (502) 939-5378.
- Does Stacey Roussell accept Medicare?
- Stacey Roussell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacey Roussell's NPI active?
- Yes — Stacey Roussell's NPI (1770629099) is active in the NPPES registry as of the last update on 2024-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.