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DR. STACEY M CARROLL PHD, APRN-BC
NPI 1114102332
Nurse Practitioner - Adult Health in Holden, MA

Active since January 07, 2008PECOS Enrolled
18 WAYLAND CIR, HOLDEN, MA 01520(508) 829-7847 Get Directions Write a Review

NPPES record last updated: February 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stacey M Carroll Phd, Aprn-bc NPPES

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

DR. STACEY M CARROLL PHD, APRN-BC (NPI 1114102332) is an individual adult health provider in Holden, Massachusetts, licensed in Massachusetts (212620) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114102332
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDR. STACEY M CARROLLCredential: PHD, APRN-BC
Location Address18 WAYLAND CIRHolden, MA 01520-2439
Mailing Address18 Wayland CirHolden, MA 01520-2439 · (508) 829-7847
Phone(508) 829-7847
Sole ProprietorNo
Enumeration DateJanuary 7, 2008
Last NPPES UpdateFebruary 10, 2008
✔ NPI 1114102332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · 212620
Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X · License 212620 (MA)
18 WAYLAND CIR, Holden, MA 01520
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Other Names 1

Former Name (1)Ms. Stacey M Cordwell

Other Identifiers 1

Medicare UPINNP1474MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacey M Carroll Phd, Aprn-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01520 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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 Stacey Carroll's NPI number?

The NPI number for Stacey Carroll is 1114102332. It was assigned to this individual provider in the NPPES registry on January 7, 2008. The provider is also known as Ms. Stacey M Cordwell.

Where is Stacey Carroll located?

Stacey Carroll practices at 18 Wayland Cir, Holden, MA 01520. The listed phone number is (508) 829-7847.

What is Stacey Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Stacey Carroll enrolled in Medicare?

Yes. Stacey Carroll is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Carroll was last updated on February 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.