Stacey Elaine Oddera, APRN
Stacey Elaine Oddera is a Nurse Practitioner provider (Nurse Practitioner) practicing in Anna, IL, registered in the NPPES registry with NPI 1558964080 since 2020. The credential APRN stands for Advanced Practice Registered Nurse. Practices at Southern Illinois Medical Services, Nfp (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558964080 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Stacey Elaine Oddera |
| Credential | APRN |
| Sex | Female |
| Practice address | 98 PEACH RIDGE RD, Anna, IL, 62906 |
| Phone | 6186141400 |
| Fax | 6186141401 |
| Enumeration date | 2020-11-18 |
| Last updated in NPPES | 2023-10-19 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | Primary | 209022361 | IL |
APRN — Advanced Practice Registered Nurse: An umbrella credential covering NPs, CRNAs, CNMs, and clinical nurse specialists. About the APRN credential
Copy-ready billing details
Provider: Stacey Oddera, APRN NPI: 1558964080 Taxonomy: 363L00000X (Nurse Practitioner) Address: 98 PEACH RIDGE RD, Anna, IL, 62906
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1538689062 | Southern Illinois Medical Services, Nfp | Organization | Rural Health Clinic/Center | Anna, IL |
| 1174304158 | Cristen Mckibben | Individual | Nurse Practitioner | Anna, IL |
Verify this record
Cross-check NPI 1558964080 against the authoritative CMS record: view Stacey Elaine Oddera on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-10-19.