Individual provider Active NPI

Stacy Ann Henigsman, D.O.

  • Obstetrics Physician
  • New York, NY
National Provider Identifier
1699827162
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
20A8538 Issued in CA
Practice address
90 Maiden LN RM 300
New York, NY 10038-4725
Phone
(646) 290-9560
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 20A8538 CA Primary

Addresses

Primary practice location

90 Maiden LN RM 300
New York, NY 10038-4725

Mailing address

10650 Reagan St Unit 1009
Los Alamitos, CA 90720-8854
Phone (714) 968-4536

Other names 1

  • Stacy Ann Bunn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251114003600 FL Practitioner - Obstetrics/Gynecology 1052619046 Reassigns benefits to 1 organization
I20251205001606 CA Practitioner - Obstetrics/Gynecology 1052619046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heme Onc CallGroup PAC ID 1658702527, 12 clinicians

Practice addresses (Care Compare)

8255 S Dixie Hwy
Miami, FL 33143-7717
Phone (305) 458-1384

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8538CAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heme on Call USA PC CurrentSince Dec 10, 2025 Accepting new patients
Heme Onc Call CurrentSince Dec 10, 2025 Accepting new patients
Allara Medical Group PA Past Accepting new patients

Locations

2907 Shelter Island Dr
Ste 216
San Diego, CA 92106
Phone (786) 567-8310

9850 Stirling Rd
Ste 100
Hollywood, FL 33024
Phone (786) 567-8310

105 Commerce St
Ste 109
Lake Mary, FL 32746
Phone (267) 939-1819

8255 S Dixie Hwy
Miami, FL 33143
Phone (305) 458-1384

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJABCD
  • Direct secure messaging: stacy.henigsman@335000925634564.direct.elationemr.com

Organizations & group practices 3

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1699827162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 REAGAN ST UNIT 1009",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907208854",
            "telephone_number": "714-968-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIDEN LN RM 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384725",
            "telephone_number": "646-290-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENIGSMAN",
        "first_name": "STACY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "20A8538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "BUNN",
            "middle_name": "ANN",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.