Individual provider Active NPI

Stacey Marie Ferkin

  • Obstetrics & Gynecology Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1144978206
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
868193 Issued in NV
Practice address
8687 Bando Dr
Las Vegas, NV 89148-5375
Phone
(262) 909-2923
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 868193 NV Primary
Inpatient Obstetric Registered Nurse 163WX0003X RN85888 NV

Addresses

Primary practice location

8687 Bando Dr
Las Vegas, NV 89148-5375

Mailing address

8687 Bando Dr
Las Vegas, NV 89148-5375
Phone (262) 909-2923

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
I20250912004175 NV Practitioner - Nurse Practitioner 8325541493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8906 Spanish Ridge Ave
Suite 202
Las Vegas, NV 89148-1304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN85888NVMDInpatient Obstetric Registered Nurse
868193NVMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Womens Hospitalists - Storey PLLC CurrentSince May 25, 2025 Accepting new patients

Locations

8906 Spanish Ridge Ave
Ste 202
Las Vegas, NV 89148
Phone (702) 330-3102

8285 W Arby Ave
Ste 280
Las Vegas, NV 89113
Phone (702) 577-1622

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.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1144978206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8687 BANDO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485375",
            "telephone_number": "262-909-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8687 BANDO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485375",
            "telephone_number": "262-909-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERKIN",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NV",
            "license": "868193",
            "primary": true
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "NV",
            "license": "RN85888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.