Individual provider Active NPI

Stacy Yancey, CRNA

  • Certified Registered Nurse Anesthetist
  • High Point, NC
National Provider Identifier
1528514528
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
113039 Issued in NC
Practice address
401 Ferndale Blvd
High Point, NC 27262-4739
Phone
(336) 882-2567
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 113039 NC Primary
Registered Nurse 163W00000X 245610 NC

Addresses

Primary practice location

401 Ferndale Blvd
High Point, NC 27262-4739

Mailing address

3979 Navy PL
High Point, NC 27265-9443
Phone (336) 870-3484

Other identifiers 1

IdentifierTypeStateIssuer
245610OtherNCNC BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161010000332 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113215013 Reassigns benefits to 20 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Thomasville Medical Center LLCGroup PAC ID 5890605224, 101 clinicians
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

203 Old Lexington Rd
Suite 106
Thomasville, NC 27360-3428
Phone (336) 474-8921

207 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 472-2000

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-5000

364 White Oak St
Asheboro, NC 27203-5434
Phone (336) 625-5151

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

  • Novant Health Thomasville Medical Center Hospital, Thomasville, NC, CCN 340085
  • Randolph Hospital Hospital, Asheboro, NC, CCN 340123
  • Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
5524NCMDGeneral Practice Dentistry
245610NCMDRegistered Nurse
113039NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebrite Hospital Group of Stokes, LLC CurrentSince Nov 30, 2022 Accepting new patients
The Presbyterian Hospital CurrentSince Jul 1, 2020 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Jul 1, 2020 Accepting new patients
Western Carolina Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2020 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Lifebrite Hospital Group of Stokes, LLC Current Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 21, 2020 Accepting new patients
Triad Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Jul 1, 2020 Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Medical Park Hospital LLC CurrentSince Jul 1, 2020 Accepting new patients
Twin City Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Lifebrite Hospital Group of Stokes, LLC CurrentSince Nov 30, 2022 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC CurrentSince Jul 1, 2020 Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Medical Park Hospital LLC CurrentSince Jul 1, 2020 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Jul 1, 2020 Accepting new patients
Carolina Anesthesiology, PA CurrentSince Sep 19, 2016 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Current Accepting new patients
Wake Forest University Health Sciences CurrentSince Jul 1, 2022 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC CurrentSince Jul 1, 2020 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
The Presbyterian Hospital CurrentSince Jul 1, 2020 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Current Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Feb 1, 2023 Accepting new patients

Locations (25 of 29)

112 Kinderton Blvd
#100
Advance, NC 27006
Phone (336) 765-0155

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

1570 NC 8 and 89 Hwy N
Danbury, NC 27016
Phone (336) 593-2831

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

415 N Center St
Ste 300
Hickory, NC 28601
Phone (828) 328-3300

401 Ferndale Blvd
High Point, NC 27262
Phone (336) 882-2567

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

280 Broad St
Ste F
Kernersville, NC 27284
Phone (336) 765-6312

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

434 Kirby Rd
King, NC 27021

402 W King St
King, NC 27021
Phone (336) 529-4304

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

233 Doctors St
Sparta, NC 28675
Phone (336) 372-3223

137 Mount Calvary Rd
#A
Thomasville, NC 27360

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 4

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1528514528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3979 NAVY PL",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659443",
            "telephone_number": "336-870-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 FERNDALE BLVD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624739",
            "telephone_number": "336-882-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "STACY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "113039",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "245610",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF NURSING",
            "identifier": "245610",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.