Stacey L Linck, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA1221 Issued in AZ

Practice address

1850 N Central Ave Ste 1600
Phoenix, AZ 85004-4633

Phone

(602) 262-8900

Fax

(602) 262-4132

NPI assigned

Jul 19, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Anesthesiology Consultants IncGroup PAC ID 4880591841, 284 clinicians

Phoenician AnesthesiaGroup PAC ID 0042741019, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Phoenician Anesthesia

  • Anesthesiology Physician
  • Chandler, AZ
  • NPI 1427889880
  Medicare reassignment Care Compare group NPD
• Valley Anesthesiology Consultants, Inc.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1285660704
  Medicare reassignment Care Compare group NPD
• Central Arizona Endoscopy, LLC

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
  • NPI 1386020519

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• District Medical Group, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1336472448
  Medicare reassignment NPD
• Grand Canyon Anesthesia LLC

  • Anesthesiology Physician
  • Scottsdale, AZ
  • NPI 1356822902

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Greater Anesthesia Solutions

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1124430244

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  AZ, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Central Arizona Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1750312435
  NPD
• District Medical Group, Inc

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1144624339
  NPD
• District Medical Group, Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1528396108
  NPD

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

• Honorhealth

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1386608859
  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1497775167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168034",
            "telephone_number": "602-470-5000",
            "fax_number": "602-470-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N CENTRAL AVE STE 1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044633",
            "telephone_number": "602-262-8900",
            "fax_number": "602-262-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCK",
        "first_name": "STACEY",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2001016542",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA1221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910997501",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00391447",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirk K Lin, MD
• Monique Gurgel Lin, MD
• Susan S. Lin, M.D.
• Mackenzie Linane, DO
• Estefania Linares
• Lincoln Physician Billing, LLC
• Lincoln Wellness and Family Care P.C.
• Alexandra Lincoln
• Alexis Rosanne Lincoln, NP
• Todd Vincent Lincoln, D.O.

• Certified Registered Nurse Anesthetist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.