Individual provider Active NPI

Stacey Lee Meyer, APRN

  • Nurse Practitioner
  • Lake Havasu City, AZ
National Provider Identifier
1356956015
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10141-33 Issued in WI
Practice address
101 Civic Center LN
Lake Havasu City, AZ 86403-5607
Phone
(928) 855-8185
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10141-33 WI Primary

Addresses

Primary practice location

101 Civic Center LN
Lake Havasu City, AZ 86403-5607

Mailing address

725 Oak Ridge Dr
Plymouth, WI 53073-4039
Phone (920) 207-8415

Other practice location 1

3501 Cranberry Blvd
Weston, WI 54476-5213
Phone (715) 393-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL marshfieldclinic.org Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201112000983 WI Practitioner - Nurse Practitioner 9234549718 Reassigns benefits to 2 organizations
I20230201003016 AZ Practitioner - Nurse Practitioner 9234549718 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group IncGroup PAC ID 2961314265, 85 clinicians

Practice addresses (Care Compare)

101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185

Hospital & facility affiliations

  • Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
  • Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • La Paz Regional Hospital Hospital, Parker, AZ, CCN 031317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10141-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Montana Current Accepting new patients
Emergency Physicians Southwest, PC Nurse Practitioner CurrentSince Mar 1, 2025 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Arizona Emergency Medicine Specialists PC CurrentSince Oct 27, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 26, 2020 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 26, 2020 Accepting new patients
Marshfield Clinic Inc CurrentSince Oct 26, 2020 Accepting new patients
Apogee Medical Group Inc CurrentSince Aug 10, 2024 Accepting new patients
Apogee Medical Group Inc CurrentSince Aug 10, 2024 Accepting new patients

Locations

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

400 Veterans Dr
Columbia Fls, MT 59912
Phone (406) 892-3256

111 N Sanders St
#30
Helena, MT 59601

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

3501 Cranberry Blvd
Weston, WI 54476
Phone (715) 393-1000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/67ff075a-8289-4f2d-a8eb-5dc1f0d954ab/

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1356956015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 OAK RIDGE DR",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530734039",
            "telephone_number": "920-207-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CIVIC CENTER LN",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035607",
            "telephone_number": "928-855-8185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Cranberry Blvd",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WI",
            "postal_code": "544765213",
            "country_code": "US",
            "telephone_number": "715-393-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "STACEY",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "10141-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "marshfieldclinic.org",
            "affiliation": "N",
            "endpointDescription": "Organization Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Location",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Location",
            "address_1": "3501 Cranberry Blvd",
            "city": "Weston",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544765213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.