ANDREA MICHELLE STACY OTR/L
NPI 1093699829
Occupational Therapist in Chicago, IL
About Andrea Michelle Stacy Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA MICHELLE STACY OTR/L (NPI 1093699829) is an individual occupational therapist in Chicago, Illinois, licensed in Illinois (056003713) and active in the NPI registry since August 2025.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrea Michelle Stacy Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Andrea Stacy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Aurora, IL 60502
- Reassigned Medicare billing, Illinois enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andrea Stacy's NPI number?
The NPI number for Andrea Stacy is 1093699829. It was assigned to this individual provider in the NPPES registry on August 4, 2025.
Where is Andrea Stacy located?
Andrea Stacy practices at 311 E Cullerton St Unit 3, Chicago, IL 60616. The listed phone number is (312) 399-0933.
What is Andrea Stacy's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Andrea Stacy enrolled in Medicare?
Yes. Andrea Stacy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Andrea Stacy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Stacy reassigns Medicare benefits to Memorycare Corporation (Aurora, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Stacy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrea Stacy was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.