Active NPI
Stacie Macdonald, M.D.
- Obstetrics & Gynecology Physician
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A83134
- Practice address
- 3 Medical Plaza Dr Ste 260
Roseville, CA 95661-3089 - Phone
- (916) 773-7977
- NPI assigned
- Apr 10, 2006
- Last updated
- Aug 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A83134 | CA | Primary |
Addresses
Primary practice location
3 Medical Plaza Dr Ste 260
Roseville, CA 95661-3089
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868
2 Medical Plaza Dr
Roseville, CA 95661-3042
2800 L St
Sacramento, CA 95816-5616
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A83134 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Township Medical Foundation | Obstetrics & Gynecology | Current | Accepting new patients |
| Washington Township Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Obstetrics & Gynecology | Current | Accepting new patients |
| Washington Township Hospital District | Past | Accepting new patients | |
| Sutter Gould Medical Foundation | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients |
Locations
2299 Mowry Ave
Ste 3C
Fremont, CA 94538
Phone (510) 248-1470
39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800
3 Medical Plaza Dr
Ste 260
Roseville, CA 95661
Phone (916) 773-7977
7 Medical Plaza Dr
Ste 300
Roseville, CA 95661
Phone (916) 773-7977
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Interoperability endpoints
- smacdonald36977@hisp.ehr.sutterhealth.org
- smacdonald7230@direct.whhs.com
Organizations & group practices 8
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.
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1346557014
Obstetrics & Gynecology
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952327256
Obstetrics & Gynecology
-
dba Washington Health Urgent Care
- Urgent Care Clinic/Center
- Fremont, CA
- NPI 1669360681
-
dba Dale Road Care Center
- Family Medicine Physician
- Modesto, CA
- NPI 1326093360
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
-
- General Acute Care Hospital
- Fremont, CA
- NPI 1154472058
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sutter Roseville Medical Center
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1700849973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MEDICAL PLAZA DR STE 260",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613089",
"telephone_number": "916-773-7977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "STACIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A83134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
- Ma. Cristina Esguerra Maniego DMD,PC (Dental Haven, Dental Office of Ma. Cristina Esguerra Maniego DMD,PC)
- Darla Jo Mabery, D.O.
- Yoko Takato Macahilas, P.T.
- Rafael Vidal Rosacia Macaraeg Jr., MD
- Macarius, Max & Daniel (Stanton Optical)
- Samantha Macfall
- David Mach, D.O.
- Leisa Machado
- Jeffrey Machgan, LMFT
- Erin Elizabeth Macias, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.