Individual provider Active NPI

Stacie Elizabeth Maurer, MD

  • Internal Medicine Physician
  • Bellevue, WA
National Provider Identifier
1881643666
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00030354 Issued in WA
Practice address
10400 NE 4TH St Ste 2250
Bellevue, WA 98004-5174
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00030354 WA Primary

Addresses

Primary practice location

10400 NE 4TH St Ste 2250
Bellevue, WA 98004-5174

Mailing address

130 Sutter St FL 2
San Francisco, CA 94104-4009
Phone (415) 658-6791

Other practice location 1

1370 116th Ave NE
Bellevue, WA 98004-3825
Phone (425) 454-0199

Other practice location 2

1370 116th Ave NE
Bellevue, WA 98004-3825
Phone (425) 454-0199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000274 WA Practitioner - Internal Medicine 4486680097 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00030354WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
One Medical Group, Inc. Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Stacie E. Maurer MD, PLLC Past Accepting new patients

Locations

10400 NE 4th St
Ste 2250
Bellevue, WA 98004
Phone (425) 274-1003

701 N 34th St
Ste 200
Seattle, WA 98103
Phone (206) 267-4390

1600 7th Ave
Ste 110
Seattle, WA 98101
Phone (206) 267-4390

970 Denny Way
Seattle, WA 98109
Phone (206) 267-4390

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1881643666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SUTTER ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044009",
            "telephone_number": "415-658-6791",
            "fax_number": "415-520-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 NE 4TH ST STE 2250",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045174",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1370 116th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043825",
            "country_code": "US",
            "telephone_number": "425-454-0199",
            "fax_number": "425-462-1742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1370 116th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043825",
            "country_code": "US",
            "telephone_number": "425-454-0199",
            "fax_number": "425-462-1742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAURER",
        "first_name": "STACIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00030354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.