Individual provider Active NPI

Stacey Lynn Warner, MD

  • Anesthesiology Physician
  • Lone Tree, CO
National Provider Identifier
1083818686
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M9080 Issued in TX
Practice address
9777 S Yosemite St Ste 210
Lone Tree, CO 80124-3115
Phone
(303) 708-2943
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X BP1-0017196 TX
Anesthesiology Physician 207L00000X 0069660 CO
Anesthesiology Physician 207L00000X M9080 TX Primary

Addresses

Primary practice location

9777 S Yosemite St Ste 210
Lone Tree, CO 80124-3115

Mailing address

PO Box 1744
Castle Rock, CO 80104-6244
Phone (720) 230-6848

Other identifiers 3

IdentifierTypeStateIssuer
P01446846OtherTXRR
199173906MedicaidTX
8EH631OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080905000391 TX Practitioner - Anesthesiology 7911073549 Reassigns benefits to 1 organization
I20230323001880 CO Practitioner - Anesthesiology 7911073549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical Branch at Galveston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diehl Anesthesia IncGroup PAC ID 6800197575, 35 clinicians

Practice addresses (Care Compare)

9320 Grand Cordera Pkwy
Colorado Springs, CO 80924-7003
Phone (719) 258-1250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0069660COMDAnesthesiology Physician
BP1-0017196TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diehl Anesthesia Inc Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
Dallas Anesthesiology Associates, PA Anesthesiology CurrentSince Jul 16, 2008 Accepting new patients
Complete Care Office Anesthesia LLC Past Accepting new patients

Locations

9320 Grand Cordera Pkwy
Colorado Springs, CO 80924
Phone (719) 258-1250

9777 S Yosemite St
Ste 210
Lone Tree, CO 80124
Phone (303) 708-2943

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

3500 Gaston Ave
Dallas, TX 75246

4144 N Central Expy
Ste 360
Dallas, TX 75204
Phone (214) 252-3511

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

Interoperability endpoints

  • Direct secure messaging: swarner@direct.uspi.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1083818686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1744",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801046244",
            "telephone_number": "720-230-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 S YOSEMITE ST STE 210",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243115",
            "telephone_number": "303-708-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP1-0017196",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "0069660",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M9080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "P01446846",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199173906",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EH631",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.