Stacey Anderson, APRN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

234391 Issued in AZ

Practice address

3125 N Dysart Rd
Avondale, AZ 85392-1208

Phone

(623) 882-9161

NPI assigned

Feb 2, 2017

Sex

Female

Sole proprietor

Yes

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.

• VHS Outpatient Clinics, Inc.

  • Multi-Specialty Clinic/Center
  • Goodyear, AZ
  • NPI 1912979964

  AZ, Single Specialty

  Medicare reassignment Care Compare group NPD
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Scottsdale, AZ
  • NPI 1891302790
  Care Compare group NPD
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Glendale, AZ
  • NPI 1356283543
  Care Compare group
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Glendale, AZ
  • NPI 1568078657
  Care Compare group
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
  • NPI 1679429211
  Care Compare group
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1881200970
  Care Compare group
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Goodyear, AZ
  • NPI 1881540425
  Care Compare group
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Buckeye, AZ
  • NPI 1962358507
  Care Compare group
• BHS Specialty Network Inc

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1831492651

  Single Specialty

  NPD (past)
• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486

  Single Specialty

  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

VHS Outpatient Clinics Inc 206 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacey.anderson.1@600.direct.athenahealth.com

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1831637529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 N DYSART RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921208",
            "telephone_number": "623-882-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 N DYSART RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921208",
            "telephone_number": "623-882-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STACEY",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "234391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajeswari Anaparthy, M.D
• Karen Anchondo Rodriguez
• Vanda Andelova, PT
• Stacy Anderson Taouil
• S Alexis Anderson, DPT
• Tasha Anderson
• Kasey J Andrews, DPT
• Angel'S Home
• Angels of Az
• Robert Lindsay Anglen, DC

• All providers in Avondale, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.

Verify at the official NPI Registry.