Stacy Provence
NPI 1912376765 · Pediatric Nurse Practitioner · Bethany, OK
Stacy Provence is a Pediatric Nurse Practitioner provider in Bethany, OK (NPI 1912376765).
Provider details
- NPI number
- 1912376765
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0089753 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- 2015-09-23
- Last updated
- 2019-11-14
Frequently asked questions
- What is Stacy Provence's NPI number?
- Stacy Provence's National Provider Identifier (NPI) is 1912376765, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Provence's specialty?
- Stacy Provence is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stacy Provence located?
- Stacy Provence's practice location on file with NPPES is 6800 Nw 39th Expy, Bethany, OK 73008-2513.
- What is Stacy Provence's phone number?
- The practice phone number listed in the NPPES registry for Stacy Provence is (405) 789-6711.
- Is Stacy Provence's NPI active?
- Yes — Stacy Provence's NPI (1912376765) is active in the NPPES registry as of the last update on 2019-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.