STACEY B. FAZENBAKER M. D. – NPI #1487615787
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

STACEY FAZENBAKER is a physician located in MADISONVILLE, KY. NPPES has assigned the NPI number 1487615787 to STACEY FAZENBAKER on March 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Dec 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STACEY FAZENBAKER below.

NPI Profile for
STACEY B. FAZENBAKER

NPI Number
1487615787
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STACEY B. FAZENBAKER
Credentials
M. D.
Primary location
444 S MAIN ST
MADISONVILLE, KY 42431-2846
Phone: (270) 821-4444 Fax:
2 Other location(s):
240 Ayer Pkwy E
Madisonville, KY 42431-8999
Phone: (270) 825-8345
Fax: (270) 825-2975
3333 Frederica St Ste 5
Owensboro, KY 42301-6085
Phone: (270) 297-9075
Fax: (270) 297-9077
Mailing address
PO BOX 3276
EVANSVILLE, IN 47731-3276
Phone: (812) 473-0181 Fax: (812) 473-5822
Sole Proprietor
No
Updated
Certification Date
Dec 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for STACEY FAZENBAKER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherANTHEMKY000000811728
otherCOMMONWEALTH BIOMEDICAL RESEARCH GROUP PTANKY7570
otherKY MEDICAL LICENSE NUMBERKY35999
medicaidKY6402415100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 KY 35999

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
240 AYER PKWY E,
MADISONVILLE, KY 77025-1669

Additional Information

Education
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE - Graduated 1999
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
STACEY FAZENBAKER is affiliated with the following medical group(s):
  • HOSPITAL
    • BAPTIST HEALTH MADISONVILLE
      900 HOSPITAL DRIVE
      MADISONVILLE, KY 42431
    • OWENSBORO HEALTH REGIONAL HOSPITAL
      1201 PLEASANT VALLEY ROAD
      OWENSBORO, KY 42303
  • NURSING HOME
    • MADISONVILLE HEALTH AND REHABILITATION, LLC
      419 NORTH SEMINARY ST
      MADISONVILLE, KY 42431

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.