Stacey L. Shadix, PA-C
Physician Assistant · Crestview Hills, KY
Stacey L. Shadix, PA-C is a physician assistant with a practice address in Crestview Hills, Kentucky, and NPI 1316015910, issued on Dec 1, 2006. Check the license (Kentucky PA1136, as entered in NPPES) with the Kentucky board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Stacey L. Shadix
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- PA1136 KY
50-00-2367 OH
Self-reported in NPPES; status is on the state search - Practice location
- 2865 Chancellor Dr, Crestview Hills, KY 41017
- Phone
- (859) 341-5400
- Enumerated
- Dec 1, 2006
- Record last updated
- Oct 16, 2008 (not updated in 18 years: call before relying on the address or phone)
- Fax
- (859) 578-3172
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 1,958 in Kentucky → Look up another NPI →
Also registered at 2865 Chancellor Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jacqueline Adams, STSpeech-Language Pathologist1396881736
- Cyril Benjamin, D.C.Chiropractor1558481358
- Christopher Bolling, M.D.Pediatrics Physician1740210160
- Eric Bosley, M.D.Pediatrics Physician1295717064
- Michelle Bosse, CNPNurse Practitioner1437368842
- Barry Brokaw, M.D.Pediatrics Physician1265415053
Verify Stacey L. Shadix in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Kentucky board licenses this profession
Search for license PA1136Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $100.11
6 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Stacey L. Shadix among 1,958 physician assistant records in Kentucky
Stacey L. Shadix, PA-C is one of 1,958 physician assistant records with a practice address in Kentucky. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.
- NPI issued2006 · 4% of these records are older, 82% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileNo · 62% of these records are
- Record last updated2008 · 39% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
15 physician assistant records list a practice address in Crestview Hills
They are 15 of the 445 NPPES records with a practice address in Crestview Hills, and 1,958 physician assistant records in Kentucky.
All 1,958 in Kentucky → Every provider in Crestview Hills → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Kirsten Babcock, PA-CEdgewood, KY 410171295967461
- Emily Bray, PA-CCrestview Hills, KY 410171477703858
- Rachell Brooks, PACrestview Hills, KY 410171396954798
- Casey Doty, PA-CEdgewood, KY 410171053528380
- Kelly Faillo, PA-CCrestview Hills, KY 410171760798052
- Carmen Grandt, PA-CEdgewood, KY 410171861440984
- Andrea Green, P.A.-CEdgewood, KY 410171356328231
- Rachael Hine, PAFort Mitchell, KY 410171871742304
Common questions
What is Stacey L. Shadix, PA-C's NPI number?
Stacey L. Shadix, PA-C's National Provider Identifier (NPI) is 1316015910, issued on Dec 1, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Stacey L. Shadix, PA-C located?
The NPPES record lists a practice address at 2865 Chancellor Dr, Crestview Hills, KY, 41017. Phone: (859) 341-5400. Providers update this record themselves, so call before visiting.
How can I verify Stacey L. Shadix, PA-C's license?
NPPES lists Kentucky license number PA1136, as entered by the provider. Search the Kentucky board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.