STACEY L CUNNINGHAM APRN
NPI 1104629724
Nurse Practitioner in Las Vegas, NV

Q: What is Stacey Cunningham's NPI number?

The NPI number for Stacey Cunningham is 1104629724. It was assigned to this individual provider in the NPPES registry on March 29, 2025.

Q: What is Stacey Cunningham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Cunningham was last updated on May 21, 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.

Active since March 29, 2025PECOS EnrolledAccepts Medicare Assignment

3730 S EASTERN AVE, LAS VEGAS, NV 89169(702) 952-3400(702) 952-3461 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Mar 29, 2025 (2 updates tracked since 2025).

On this page

About Stacey L Cunningham Aprn NPPES

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

STACEY L CUNNINGHAM APRN (NPI 1104629724) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (885008) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Sunrise Hospital And Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104629724

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTACEY L CUNNINGHAMCredential: APRN

Location Address3730 S EASTERN AVELas Vegas, NV 89169-3321

Mailing Address400 N Stephanie St Ste 300Henderson, NV 89014-6692 · (702) 952-3350 · Fax (702) 952-3364

Phone(702) 952-3400

Fax(702) 952-3461

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 29, 2025

Last NPPES UpdateMay 21, 20252 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1104629724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NV · 885008

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3730 S EASTERN AVE, Las Vegas, NV 89169

Open in Google Maps ↗

Accepted Insurance

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

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

Stacey L Cunningham Aprn 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 ID8729597448

PECOS Enrollment IDI20250604001294

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

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

Sunrise Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV

1/5 CMS rating

OwnershipProprietary

CMS Certification Number290003

Location3186 S Maryland PkwyLas Vegas, NV 89109 · Clark County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89169 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

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 17

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

MIKAL J MARBLE LMSW

Social Worker