NPIMap

Individual provider Active NPI

Stacy L Krisher, MD

  • Surgical Oncology Physician
  • Bensalem, PA
National Provider Identifier
1023037546
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
PA MD 0734497L Issued in PA
Practice address
3300 Tillman Dr
Suite #100
Bensalem, PA 19020-2071
Phone
(215) 633-3456
Fax
(215) 245-5491
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X PA MD 0734497L PA Primary

Addresses

Primary practice location

3300 Tillman Dr
Suite #100
Bensalem, PA 19020-2071

Mailing address

3300 Tillman Dr
Suite #100
Bensalem, PA 19020-2071
Phone (215) 633-3456

Other names 1

  • Mrs. Stacy L Venticinque Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041021000304 PA Practitioner - General Surgery 3779544291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Pittsburgh School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

Practice addresses (Care Compare)

45 2ND St Pike
Comprehensive Breast Care Surgeons
Southampton, PA 18966-3806
Phone (213) 633-3456

Hospital & facility affiliations

  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Lower Bucks Hospital Hospital, Bristol, PA, CCN 390070
  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy41
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PA MD 0734497LPAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services CurrentSince Aug 1, 2009 Accepting new patients
HR Physician Services Current Accepting new patients
HR Physician Services CurrentSince Aug 1, 2009 Accepting new patients
HR Physician Services Past Accepting new patients

Locations

3300 Tillman Dr
Fl 1
Bensalem, PA 19020
Phone (215) 244-2430

3300 Tillman Dr
Bensalem, PA 19020
Phone (215) 244-7400

3300 Tillman Dr
Ste 100
Bensalem, PA 19020
Phone (215) 633-3456

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1648 Huntingdon Pike
Ofc 1ST
Meadowbrook, PA 19046

1650 Huntingdon Pike
Ste 160
Meadowbrook, PA 19046
Phone (215) 344-9560

45 2nd Street Pike
Ste 100
Southampton, PA 18966
Phone (215) 633-3456

45 2nd Street Pike
Southampton, PA 18966
Phone (215) 633-3456

Interoperability endpoints

  • Direct secure messaging: stacy.krisher.1@17399.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1023037546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 TILLMAN DR",
            "address_2": "SUITE #100",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202071",
            "telephone_number": "215-633-3456",
            "fax_number": "215-245-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TILLMAN DR",
            "address_2": "SUITE #100",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202071",
            "telephone_number": "215-633-3456",
            "fax_number": "215-245-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHER",
        "first_name": "STACY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PA",
            "license": "PA MD 0734497L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "VENTICINQUE",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.