Active NPI
Stacy Lynn Prescott, MD
- Emergency Medicine Physician
- Grand Junction, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD2014-0253
- Practice address
- 2635 N 7TH St
Grand Junction, CO 81501-8209 - Phone
- (970) 298-2551
- NPI assigned
- Nov 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G79689 | CA | |
| Emergency Medicine Physician | 207P00000X | 44622 | CO | |
| Emergency Medicine Physician | 207P00000X | MD2014-0253 | NM | Primary |
Addresses
Primary practice location
2635 N 7TH St
Grand Junction, CO 81501-8209
Mailing address
2635 N 7TH St
Grand Junction, CO 81501-8209
Phone (970) 298-2551
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0G796890 | Medicaid | CA | |
| 00G796890 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, WA, AZ, MO, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141105001630 | NM | Practitioner - Emergency Medicine | 4981668530 | Reassigns benefits to 3 organizations |
| I20160330001394 | WA | Practitioner - Emergency Medicine | 4981668530 | Reassigns benefits to 1 organization |
| I20160512000537 | AZ | Practitioner - Emergency Medicine | 4981668530 | Reassigns benefits to 2 organizations |
| I20170512001425 | MO | Practitioner - Emergency Medicine | 4981668530 | |
| I20200720003361 | TX | Practitioner - Emergency Medicine | 4981668530 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G79689 | CA | MD | Emergency Medicine Physician |
| 44622 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tempe Emergency Physicians, LTD | Emergency Medicine | Current | Accepting new patients |
| Alteon Health New Mexico LLC | Emergency Medicine | Current | Accepting new patients |
| Las Cruces HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Progressive Medical Associates PLLC | Emergency Medicine | Current | Accepting new patients |
| Tempe Emergency Physicians, LTD | Emergency Medicine | Current | Accepting new patients |
| Southwest Emergency Medical Associates of NM PC | Emergency Medicine | Current | Accepting new patients |
| Colorado West Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| San Francisco Emergency Medical Associates | Emergency Medicine | Past | Accepting new patients |
| Pegasus Emergency Group Wyoming LLC | Emergency Medicine | Past | Accepting new patients |
| Hartwell Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Hartwell Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000
504 Elm St NE
Albuquerque, NM 87102
Phone (505) 724-2000
2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100
4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
2811 N Main St
Las Cruces, NM 88001
Phone (575) 526-0080
5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556
Interoperability endpoints
- sprescott177691@ahs.direct-ci.com
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Hobbs, NM
- NPI 1457636706
Emergency Medicine, NM
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1598446171
Emergency Medicine, NM
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1548218613
AZ, Emergency Medicine
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1720505571
Emergency Medicine, NM
-
- Emergency Medicine Physician
- Bullhead City, AZ
- NPI 1376934315
AZ, Emergency Medicine
-
- Emergency Medicine Physician
- Kennewick, WA
- NPI 1346586351
WA
-
- Emergency Medicine Physician
- Tempe, AZ
- NPI 1114938503
Emergency Medicine
-
- Emergency Medicine Physician
- Grand Junction, CO
- NPI 1780626069
Emergency Medicine
-
- Emergency Medicine Physician
- Lavonia, GA
- NPI 1467710152
Emergency Medicine
-
- Emergency Medicine Physician
- Hartwell, GA
- NPI 1962540849
Emergency Medicine
-
- Emergency Medicine Physician
- Rock Springs, WY
- NPI 1124328927
Emergency Medicine
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1134110661
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1184615494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 N 7TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018209",
"telephone_number": "970-298-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 N 7TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018209",
"telephone_number": "970-298-2551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESCOTT",
"first_name": "STACY",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G79689",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "44622",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NM",
"license": "MD2014-0253",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0G796890",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G796890",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.