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STACY KOCH RN, CCRN
NPI 1104291798
Nurse Anesthetist, Certified Registered in Clarence, NY

Active since December 08, 2015Accepts Medicare Assignment
9665 ROCKY PT, CLARENCE, NY 14031(716) 759-7717 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 23, 2019, Dec 8, 2015 (2 updates tracked since 2015).

About Stacy Koch Rn, Ccrn NPPES

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

STACY KOCH RN, CCRN (NPI 1104291798) is an individual nurse anesthetist, certified registered in Clarence, New York, licensed in New York (118382) and active in the NPI registry since December 2015. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1104291798
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSTACY KOCHCredential: RN, CCRN
Location Address9665 ROCKY PTClarence, NY 14031-1588
Mailing Address9665 Rocky PtClarence, NY 14031-1588
Phone(716) 759-7717
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 8, 2015
Last NPPES UpdateMay 23, 20192 updates tracked since enumeration
✔ NPI 1104291798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NY · 118382
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.
9665 ROCKY PT, Clarence, NY 14031
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy Koch Rn, Ccrn 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 ID4082961115
PECOS Enrollment IDI20180720001677

Medicare Billing Reassignments

3

Medicare enrollment records show Stacy Koch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Buffalo Surgery Center LLC
8.2 mi
Ambulatory Surgical
3921 SHERIDAN DR
Amherst, NY 14226
  • Reassigned Medicare billing, New York enrollment
  • 26 clinicians in this Medicare group
NPI 1508863242 (716) 250-6520
Ambulatory Medical Anesthesia Service, PC
8.9 mi
Anesthesiology
945 SWEET HOME RD
Amherst, NY 14226
  • Reassigned Medicare billing, New York enrollment
  • 41 clinicians in this Medicare group
NPI 1609813583 (716) 831-9435
Parkside Medical Anesthesia Associates
12 mi
Anesthesiology
2157 MAIN STREET
Buffalo, NY 14214
  • Reassigned Medicare billing, New York enrollment
  • 117 clinicians in this Medicare group
NPI 1871537464 (716) 836-7510

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 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.
181 services149 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
51 services45 patients
Anesthesia for procedure on eyelid 00103
Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.
30 services30 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14031 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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 Koch's NPI number?

The NPI number for Stacy Koch is 1104291798. It was assigned to this individual provider in the NPPES registry on December 8, 2015.

Where is Stacy Koch located?

Stacy Koch practices at 9665 Rocky Pt, Clarence, NY 14031. The listed phone number is (716) 759-7717.

What is Stacy Koch's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Stacy Koch enrolled in Medicare?

Yes. Stacy Koch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stacy Koch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Koch reassigns Medicare benefits to 3 organizations: Buffalo Surgery Center LLC (Amherst, NY), Ambulatory Medical Anesthesia Service, PC (Amherst, NY) and Parkside Medical Anesthesia Associates (Buffalo, NY). Each 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 Stacy Koch'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 Stacy Koch was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.