Stacey E. Pickering, ARNP

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ARNP9162428 Issued in FL

Practice address

1071 S Sun Dr Ste 1003
Lake Mary, FL 32746-2573

Phone

(407) 302-2620

Fax

(407) 302-2690

NPI assigned

Oct 3, 2005

Last updated

Feb 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

99.63 of 100Reported as individual

Quality

96.53

Improvement activities

40

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heathrow Internal Medicine LLC

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1033387865
  NPD (past)
• Lake Mary Family Physicians P.a.

  • Exclusive Provider Organization
  • Lake Mary, FL
  • NPI 1174719082
  NPD (past)
• Bass Medical Group

  • Specialist
  • Walnut Creek, CA
  • NPI 1154401941
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1265429518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 S SUN DR STE 1003",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462573",
            "telephone_number": "407-302-2620",
            "fax_number": "407-302-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 S SUN DR STE 1003",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462573",
            "telephone_number": "407-302-2620",
            "fax_number": "407-302-2690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Lennon Ln",
            "address_2": "suite 250",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945985910",
            "country_code": "US",
            "telephone_number": "925-932-6330",
            "fax_number": "925-932-0139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKERING",
        "first_name": "STACEY",
        "middle_name": "E.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9162428",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ARNP9162428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3066398-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physician Associates LLC
• Physician Associates LLC
• Physician Associates LLC
• Physicians Home Visits LLC
• Ashley Piacenti, MS, CCC-SLP
• Nicholas Francis Pieper, PTA/ L
• Angela Mary Pieronowski, NP
• Melody Pierre-Jean, RD, LD/N
• Joanne Jessie Pierre-Louis, NP-C
• Nancy E Pierre, PMHNP

• Urology Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.