Stacy Lee Anderson, MD
Individual provider Active NPI Internal Medicine Physician · New York, NY
NPI 1619210648 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1619210648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 283301 (NY)
- Practice address
- 1275 York Ave
New York, NY 10065-6007 - Phone
- (212) 639-2000
- NPI assigned
- Mar 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Oregon Health Sciences University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Medical Consultation Group
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6094
Phone (212) 639-2000
Hospital & facility affiliations
- Memorial Hospital for Cancer and Allied Diseases
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.5 of 100
- Quality
- 60.62
- Improvement activities
- 40
- Cost
- 73.87
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.55 of 100
- Quality
- 82.52
- Improvement activities
- 40
- Cost
- 72.02
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160901001501 | NY | Practitioner - Family Practice |
7719273655 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283301 | NY | MD | Licensed Practical Nurse |
Practice roles (8 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Solid Tumor Group | Internal Medicine | Current |
Accepting new patients |
| Memorial Developmental Chemo Group | Current |
Accepting new patients | |
| Memorial Urgent Care Group | Internal Medicine | Current |
Accepting new patients |
| Mskcc Clinical Practice Plan | Internal Medicine | Current |
Accepting new patients |
| Memorial Hematology Lymphoma Group | Current |
Accepting new patients | |
| Mskcc Clinical Practice Plan | Current |
Accepting new patients | |
| Memorial Medical Consultation Group | Internal Medicine | Current |
Accepting new patients |
| Memorial Hematology Lymphoma Group | Current |
Accepting new patients |
Locations
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- sanderson40961@mskcc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 283301 | NY | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
1275 York Ave
New York, NY 10065-6007
Other practice location 1
505 E 70th St
New York, NY 10021-4872
Phone (212) 746-2917
Other names
- Stacy Lee O'Neill
Other providers in New York, NY
- Rita Anderson
- Rusian Eloise Anderson
- Sarah Ann Rachel Anderson
- Shaquel Anderson
- Shelley L. Anderson
- Stewart A Anderson
- Teri L Anderson
- Thomas William Anderson III
- Toby Anderson
- Todd A Anderson
All providers in New York, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.