Active NPI
Nathaniel Perry Stacy, MD
- Neurology Physician
- Saint Louis, MO
National Provider Identifier
1982348710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 04-53132
- Practice address
- 1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003 - Phone
- (314) 362-3296
- NPI assigned
- Apr 27, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 04-53132 | KS | Primary |
Addresses
Primary practice location
1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003
Mailing address
325 Maine Street
Mso Library
Lawrence, KS 66044
Phone (785) 505-2988
Other practice location 1
1130 W 4th St Ste 3203
Lawrence, KS 66044-1345
Phone (785) 505-5020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221208002730 | MO | Order and Referring Only - Neurology | 1658740998 |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
325 Maine St
Lawrence, KS 66044-1360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-53132 | KS | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1982348710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MAINE STREET",
"address_2": "MSO LIBRARY",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "66044",
"telephone_number": "785-505-2988",
"fax_number": "785-505-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BARNES JEWISH HOSPITAL PLZ",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101003",
"telephone_number": "314-362-3296"
}
],
"practiceLocations": [
{
"address_1": "1130 W 4th St Ste 3203",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "660441345",
"country_code": "US",
"telephone_number": "785-505-5020",
"fax_number": "785-505-5260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STACY",
"first_name": "NATHANIEL",
"middle_name": "PERRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-27",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KS",
"license": "04-53132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.