STACY LYNN BRUNQUIST RNC ANP
NPI 1104059492
Nurse Practitioner - Neonatal, Critical Care in Anchorage, AK

Q: What is Stacy Brunquist's NPI number?

The NPI number for Stacy Brunquist is 1104059492. It was assigned to this individual provider in the NPPES registry on September 2, 2009. The provider is also known as Stacy Lynn Roe.

Q: What is Stacy Brunquist's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Brunquist was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since September 02, 2009

3200 PROVIDENCE DR, ANCHORAGE, AK 99508(907) 212-5006(907) 212-4896 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2021, Feb 16, 2016 (2 updates tracked since 2016).

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About Stacy Lynn Brunquist Rnc Anp NPPES

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

STACY LYNN BRUNQUIST RNC ANP (NPI 1104059492) is an individual neonatal, critical care provider in Anchorage, Alaska, licensed in Alaska (1095) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1104059492

Entity TypeIndividualFemale

Primary Taxonomy363LN0005X

Provider Legal NameSTACY LYNN BRUNQUISTCredential: RNC ANP

Location Address3200 PROVIDENCE DRAnchorage, AK 99508-4615

Mailing AddressPo Box 4105Portland, OR 97208-4105 · (866) 907-1068 · Fax (425) 917-9141

Phone(907) 212-5006

Fax(907) 212-4896

Sole ProprietorNo

Enumeration DateSeptember 2, 2009

Last NPPES UpdateMay 17, 20212 updates tracked since enumeration

NPPES CertifiedMay 17, 2021

✔ NPI 1104059492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0005X

Licenses✔ Licensed in AK · 1095✔ Licensed in OR · 200950111NP NNP-PP

3200 PROVIDENCE DR, Anchorage, AK 99508

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Other Names 1

Former Name (1)Stacy Lynn Roe

Other Identifiers 1

Medicaid1570883AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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.

ELIZABETH MUMFORD GALLOWAY M.D.

Pediatrics (Pediatric Critical Care Medicine)

3200 PROVIDENCE DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 562-2211

JOHN E HALL MD

Emergency Medicine

3200 PROVIDENCE DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 261-3111

LIBERTY ANN HELGESON RN

Registered Nurse (Emergency)

3200 PROVIDENCE DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 350-6717

VIVIAN NGUYEN PHARMD

Pharmacist

3200 PROVIDENCE DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 212-8318

MARILYN CUNNINGHAM RD

Dietitian, Registered

3200 PROVIDENCE DR, E TOWER, SUITE 3030
ANCHORAGE, AK 99508

Anchorage Municipality (907) 212-7980

DR. NATALIE DAWN HENRY M.D.

Obstetrics & Gynecology

3200 PROVIDENCE DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 562-2211

MS. BARBARA M DELK PHARMACY TECHNICIAN

Pharmacy Technician

3200 PROVIDENCE DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 261-2813

ROBERT LADA MD LLC

Psychiatry & Neurology (Neurology)

3200 PROVIDENCE DR, SUITE 248
ANCHORAGE, AK 99508

Anchorage Municipality (907) 261-3650

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 Stacy Brunquist's NPI number?

The NPI number for Stacy Brunquist is 1104059492. It was assigned to this individual provider in the NPPES registry on September 2, 2009. The provider is also known as Stacy Lynn Roe.

Where is Stacy Brunquist located?

Stacy Brunquist practices at 3200 Providence Dr, Anchorage, AK 99508. The listed phone number is (907) 212-5006.

What is Stacy Brunquist's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

What insurance does Stacy Brunquist accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Stacy Brunquist as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy Brunquist was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.