STACY LEE FAVAZZA CRNA
NPI 1063892594
Nurse Anesthetist, Certified Registered in Boston, MA

Active since May 29, 2015Accepts Medicare Assignment
800 WASHINGTON ST, BOSTON, MA 02111(617) 636-5000 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 16, 2024, Apr 26, 2017 (2 updates tracked since 2017).

About Stacy Lee Favazza Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY LEE FAVAZZA CRNA (NPI 1063892594) is an individual nurse anesthetist, certified registered in Boston, Massachusetts, licensed in Massachusetts (RN2272463) and active in the NPI registry since May 2015. She is affiliated with Tufts Medical Center and is a graduate of Other (2017).

NPPES Registry Identity

NPI1063892594
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSTACY LEE FAVAZZACredential: CRNA
Location Address800 WASHINGTON STBoston, MA 02111-1552
Mailing Address800 Washington StBoston, MA 02111-1552 · (617) 636-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 29, 2015
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
NPI 1063892594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MA · RN2272463
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN2272463 (MA)
800 WASHINGTON ST, Boston, MA 02111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stacy Lee Favazza Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214209428
PECOS Enrollment IDI20170823002449

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
16 services15 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
800 WASHINGTON ST, BOX 63
BOSTON, MA 02111
Psychiatry & Neurology (Psychosomatic Medicine)
800 WASHINGTON ST, TUFTS MEDICAL CENTER BOX 1007
BOSTON, MA 02111
Pediatrics
800 WASHINGTON ST, DEPT. OF PEDIATRICS
BOSTON, MA 02111
Psychiatry & Neurology (Neurology)
800 WASHINGTON ST, #314
BOSTON, MA 02111
Pathology (Clinical Pathology/Laboratory Medicine)
800 WASHINGTON ST, BOX 115
BOSTON, MA 02111
Nurse Practitioner
800 WASHINGTON ST, GI LIVER GROUP P.C.TUFTS MEDICAL CENTER
BOSTON, MA 02111
Pediatrics (Developmental - Behavioral Pediatrics)
800 WASHINGTON ST, BOX 334
BOSTON, MA 02111
Pediatrics
800 WASHINGTON ST, BOX 286 DEPT. OF PEDIATRICS
BOSTON, MA 02111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063892594, enumerated as an "individual" on May 29, 2015.

The provider is located at 800 WASHINGTON ST BOSTON, MA 02111 and the phone number is (617) 636-5000.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Stacy Favazza is affiliated with: TUFTS MEDICAL CENTER.