Individual provider Active NPI

Stacey Lynn Wessman, D.O.

  • Obstetrics & Gynecology Physician
  • Weymouth, MA
National Provider Identifier
1487707428
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
225557 Issued in MA
Practice address
51 Performance Dr # Drive2
Weymouth, MA 02189
Phone
(781) 682-5000
NPI assigned
Jan 22, 2007
Last updated
Apr 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 225557 MA Primary

Addresses

Primary practice location

51 Performance Dr # Drive2
Weymouth, MA 02189

Mailing address

51 Performance Dr # Drive2
Weymouth, MA 02189-3141
Phone (781) 682-5000

Other practice location 1

300 Congress St
Suite 102
Quincy, MA 02169-0907
Phone (617) 479-6636

Other practice location 2

300 Congress St
Suite 102
Quincy, MA 02169-0907
Phone (617) 479-6636

Other names 1

  • Dr. Stacey Lynn Lunman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090924000024 MA Practitioner - Obstetrics/Gynecology 6002962529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Medical Center, Inc.Group PAC ID 3678487444, 174 clinicians

Practice addresses (Care Compare)

51 Performance Dr
Weymouth, MA 02189-3141
Phone (781) 624-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
225557MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Sep 30, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 30, 2018 Accepting new patients
South Shore Medical Center, Inc. Obstetrics & Gynecology CurrentSince Jul 1, 2019 Accepting new patients
South Shore Hospital Inc. Past Accepting new patients
Crown Obstetrics and Gynecology Obstetrics & Gynecology Past Accepting new patients

Locations

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820

21 Bristol Dr
Ste 203
South Easton, MA 02375
Phone (508) 565-3410

51 Performance Dr
Weymouth, MA 02189
Phone (781) 337-5555

51 Performance Dr
#2
Weymouth, MA 02189
Phone (781) 682-5000

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1487707428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PERFORMANCE DR # DRIVE2",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893141",
            "telephone_number": "781-682-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PERFORMANCE DR # DRIVE2",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02189",
            "telephone_number": "781-682-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Congress St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021690907",
            "country_code": "US",
            "telephone_number": "617-479-6636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Congress St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021690907",
            "country_code": "US",
            "telephone_number": "617-479-6636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESSMAN",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "225557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "LUNMAN",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.