Individual provider Active NPI

Stacey L Cunningham, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1104629724
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
885008 Issued in NV
Practice address
3730 S Eastern Ave
Las Vegas, NV 89169-3321
Phone
(702) 952-3400
Fax
(702) 952-3461
NPI assigned
Mar 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 885008 NV Primary

Addresses

Primary practice location

3730 S Eastern Ave
Las Vegas, NV 89169-3321

Mailing address

400 N Stephanie St Ste 300
Henderson, NV 89014-6692
Phone (702) 952-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250604001294 NV Practitioner - Nurse Practitioner 8729597448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allison Curtis Kingsley Meoz Michael and Sanchez PCGroup PAC ID 1254224280, 72 clinicians

Practice addresses (Care Compare)

3730 S Eastern Ave
Las Vegas, NV 89169-3321
Phone (702) 952-3400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Curtis Kingsley Meoz Michael & Sanchez PC Nurse Practitioner CurrentSince May 19, 2025 Accepting new patients

Locations

400 N Stephanie St
Ste 300
Henderson, NV 89014
Phone (702) 952-3350

3730 S Eastern Ave
Las Vegas, NV 89169
Phone (702) 952-3400

Interoperability endpoints

  • Direct secure messaging: stacey.cunningham@cccn.ikm.direct-ci.com

Organizations & group practices 1

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 1

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": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1104629724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N STEPHANIE ST STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146692",
            "telephone_number": "702-952-3350",
            "fax_number": "702-952-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693321",
            "telephone_number": "702-952-3400",
            "fax_number": "702-952-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "STACEY",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "885008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.