NPIMap

Individual provider Active NPI

Stacie Lorraine Carney, MD

  • Internal Medicine Physician
  • Milwaukie, OR
National Provider Identifier
1154527042
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD28404 Issued in OR
Practice address
10330 SE 32ND Ave Ste 325
Milwaukie, OR 97222-6656
Phone
(503) 416-1960
Fax
(503) 416-1959
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD28404 OR Primary

Addresses

Primary practice location

10330 SE 32ND Ave Ste 325
Milwaukie, OR 97222-6656

Mailing address

7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302
Phone (503) 941-3077

Other identifiers 1

IdentifierTypeStateIssuer
279260MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20080827000529 OR Practitioner - Internal Medicine 7911090311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Francisco School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health CenterGroup PAC ID 8426227893, 35 clinicians

Practice addresses (Care Compare)

10690 NE Cornell Rd
Suite 220
Hillsboro, OR 97124-9224
Phone (503) 848-5861

227 NW 3Rd Ave
Canby, OR 97013-3640
Phone (503) 416-4547

728 Molalla Ave
Oregon City, OR 97045-2799
Phone (503) 656-9030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Center Current Accepting new patients
Neighborhood Health Center Past Accepting new patients
Neighborhood Health Center Past Accepting new patients
Health for All, Inc. Past Accepting new patients
Health for All, Inc. Past Accepting new patients

Locations

227 NW 3rd Ave
Canby, OR 97013
Phone (503) 416-4547

10690 NE Cornell Rd
Ste 220
Hillsboro, OR 97124
Phone (503) 848-5861

728 Molalla Ave
Oregon City, OR 97045
Phone (503) 487-3001

10330 SE 32nd Ave
Ste 325
Portland, OR 97222
Phone (503) 387-8200

6420 S Macadam Ave
Ste 300
Portland, OR 97239
Phone (503) 941-3033

7320 SW Hunziker Rd
Ste 300
Tigard, OR 97223
Phone (503) 941-3033

Interoperability endpoints

  • Direct secure messaging: scarney195659@direct.ochin.org

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Central City Concern, Inc.Portland, OR, CCN 381811 Federally qualified health center Corporate Director Oct 16, 2024
Central City Concern, Inc.Portland, OR, CCN 381914 Federally qualified health center Corporate Director Oct 16, 2024
Central City Concern, Inc.Portland, OR, CCN 381984 Federally qualified health center Corporate Director Oct 16, 2024
Central City Concern, Inc.Portland, OR, CCN 931001 Federally qualified health center Corporate Director Oct 16, 2024
Central City Concern, Inc.Portland, OR, CCN 381024 Federally qualified health center Corporate Director Oct 16, 2024
Central City Concern, Inc.Portland, OR, CCN 381026 Federally qualified health center Corporate Director Oct 16, 2024
Central City Concern, Inc.Portland, OR, CCN 381043 Federally qualified health center Corporate Director Oct 16, 2024
Central City Concern, Inc.Portland, OR, CCN 381041 Federally qualified health center Corporate Director Oct 16, 2024
Central City Concern, Inc.Portland, OR, CCN 381042 Federally qualified health center Corporate Director Oct 16, 2024
Central City Concern, Inc.Portland, OR, CCN 381044 Federally qualified health center Corporate Director Oct 16, 2024
Central City Concern, Inc.Portland, OR, CCN 381047 Federally qualified health center Corporate Director Oct 16, 2024
Central City Concern, Inc.Portland, OR, CCN 381052 Federally qualified health center Corporate Director Oct 16, 2024

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1154527042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972232302",
            "telephone_number": "503-941-3077",
            "fax_number": "503-747-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 SE 32ND AVE STE 325",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226656",
            "telephone_number": "503-416-1960",
            "fax_number": "503-416-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "STACIE",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD28404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279260",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.