Individual provider Active NPI

Stacy Ann Flinn, RN, MSN, FNP

  • Family Nurse Practitioner
  • Lebanon, NH
National Provider Identifier
1376765719
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
073529-23 Issued in NH
Practice address
1 Medical Center Dr
Neurosurgery
Lebanon, NH 03756-1000
Phone
(603) 650-5109
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 073529-23 NH Primary

Addresses

Primary practice location

1 Medical Center Dr
Neurosurgery
Lebanon, NH 03756-1000

Mailing address

1 Medical Center Dr
Neurosurgery
Lebanon, NH 03756-1000
Phone (603) 650-5109

Other names 1

  • Stacy Ann Lutgen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 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
I20130313000185 VT Practitioner - Nurse Practitioner 7113172487 Reassigns benefits to 1 organization
I20161003001929 NH Practitioner - Nurse Practitioner 7113172487 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savida Health PCGroup PAC ID 4082809967, shared by 7 NPIs, 89 clinicians

Practice addresses (Care Compare)

368 River St
Suite 160
Springfield, VT 05156-2242
Phone (802) 231-4486

401 Gilford Ave
BLDG 1
Gilford, NH 03249-7536
Phone (833) 356-4080

Merit-based Incentive Payment System (MIPS)

Final score
35.98 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
20
Cost
78.28

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
073529-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic CurrentSince Sep 12, 2016 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 12, 2016 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Feb 14, 2022 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Feb 14, 2022 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Mar 22, 2022 Accepting new patients
Savida Health, PC CurrentSince Sep 1, 2022 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Mar 22, 2022 Accepting new patients
Alice Peck Day Memorial Hospital Current Accepting new patients
Savida Health, PC Current Accepting new patients
Savida Health, PC CurrentSince Sep 1, 2022 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 12, 2016 Accepting new patients
The New London Hospital Association, Inc. Current Accepting new patients

Locations

401 Gilford Ave
Bldg 1
Gilford, NH 03249
Phone (603) 832-6555

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

5 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-3996

649 2nd St
Apt 1
Manchester, NH 03102

60 Rogers St
#215
Manchester, NH 03103

273 County Rd
New London, NH 03257
Phone (603) 526-5215

11 John Stark Hwy
Newport, NH 03773
Phone (603) 526-5203

655 Main St
Ste 2
Bennington, VT 05201
Phone (802) 448-5105

54 Chickering Dr
Ste A
Brattleboro, VT 05301
Phone (802) 442-2500

79 Coventry St
Newport, VT 05855
Phone (802) 334-5822

17 Catherine St
Saint Albans, VT 05478
Phone (802) 524-8809

366 Dorset St
Ste 20
South Burlington, VT 05403
Phone (802) 448-5072

368 River St
Ste 160
Springfield, VT 05156
Phone (802) 231-4486

Interoperability endpoints

  • FHIR API: https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: stacy.flinn.1@24804.direct.athenahealth.com
  • Direct secure messaging: sflinn241056@direct.dartmouth-hitchcock.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1376765719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "NEUROSURGERY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "NEUROSURGERY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINN",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "RN, MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "073529-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "LUTGEN",
            "middle_name": "ANN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.