Individual provider Active NPI

Stacy R McGee, CRNP

  • Adult Health Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1275196636
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-135700 Issued in AL
Practice address
929 Willowbrook Dr SE Ste C
Huntsville, AL 35802-3267
Phone
(256) 489-0757
NPI assigned
Apr 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 1-35700 AL
Adult Health Nurse Practitioner 363LA2200X 1-135700 AL Primary

Addresses

Primary practice location

929 Willowbrook Dr SE Ste C
Huntsville, AL 35802-3267

Mailing address

704 Wade Rd SE
Owens Cross Roads, AL 35763-9145
Phone (757) 395-7252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240320000405 AL Practitioner - Nurse Practitioner 0143667642 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-35700ALMDRegistered Nurse
1-135700ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zaheer a Khan MD PC Multi-Specialty CurrentSince Mar 1, 2024 Accepting new patients

Locations

3007 Memorial Pkwy SW
Ste B
Huntsville, AL 35801
Phone (256) 799-2500

Organizations & group practices 2

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": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1275196636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 WADE RD SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639145",
            "telephone_number": "757-395-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 WILLOWBROOK DR SE STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023267",
            "telephone_number": "256-489-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "STACY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-20",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-35700",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-135700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.