Stacey R Nieder, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4552 Issued in AK

Practice address

2741 Debarr Rd Ste 307
Anchorage, AK 99508-2972

Phone

(907) 777-1850

Fax

(855) 468-1357

NPI assigned

Feb 6, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Eastern Virginia Medical School, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arete Family Care LLCGroup PAC ID 0446653117, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ancora Home Health & Hospice Home health agency, Wasilla, AK, CCN 027008
• Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017
• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Merit-based Incentive Payment System (MIPS)

Final score

89.17 of 100Reported as individual

Quality

89.92

Improvement activities

40

Cost

77.33

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacey.nieder.1@24116.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24116/brand/1/csg/1/fhir/r4
• Direct secure messaging: stacey@alaskafamilycare.gwaydirect.com
• FHIR API: https://api.platform.athenahealth.com/9493/brand/2/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arete Family Care LLC

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1801460415
  Medicare reassignment Care Compare group NPD
• Alaska Center for Pediatrics, LLC

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1659581635
  Medicare reassignment NPD
• Lung and Sleep Clinic of Alaska Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Conshohocken, PA
  • NPI 1376530493
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ancora Home Health & Hospice, LLC

  • Home Health Agency
  • Wasilla, AK
  • NPI 1801380043
  Care Compare affiliation
• Galen Hospital Alaska, Inc.

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1952348047
  Care Compare affiliation
• Providence Health & Services Washington

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1013989797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE 307",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082972",
            "telephone_number": "907-777-1850",
            "fax_number": "907-777-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE 307",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082972",
            "telephone_number": "907-777-1850",
            "fax_number": "855-468-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDER",
        "first_name": "STACEY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AK",
            "license": "4552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE GROUP #",
            "identifier": "152556",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD6185",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Nicolai
• Nicole L. Berhow, OD, Inc.
• Madison Nicolet-Lloyd, LMT
• Margie L Nida Harris, OWNER
• Marie Ann A Nidoy
• Arielle Joanna Niederer, MSCP, LPC
• Anneliese Niederhauser
• Alison Evanson Nielsen-Bryant, LMSW
• Cindy Nielsen
• Jan Nielsen

• General Practice Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• General Practice Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.