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STEPHEN ANDREW STACY
NPI 1114548237
Student in an Organized Health Care Education/Training Program in Oklahoma City, OK

Active since April 29, 2020PECOS Enrolled
14400 S BLACKWELDER AVE, OKLAHOMA CITY, OK 73170(405) 306-1600 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephen Andrew Stacy NPPES

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

STEPHEN ANDREW STACY (NPI 1114548237) is an individual student in an organized health care education/training program in Oklahoma City, Oklahoma and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114548237
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSTEPHEN ANDREW STACY
Location Address14400 S BLACKWELDER AVEOklahoma City, OK 73170-7118
Mailing Address14400 S Blackwelder AveOklahoma City, OK 73170-7118 · (405) 306-1600
Phone(405) 306-1600
Sole ProprietorNo
Enumeration DateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1114548237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
14400 S BLACKWELDER AVE, Oklahoma City, OK 73170
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Andrew Stacy 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.

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 Stephen Stacy's NPI number?

The NPI number for Stephen Stacy is 1114548237. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Stephen Stacy located?

Stephen Stacy practices at 14400 S Blackwelder Ave, Oklahoma City, OK 73170. The listed phone number is (405) 306-1600.

What is Stephen Stacy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephen Stacy enrolled in Medicare?

Yes. Stephen Stacy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Stacy was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.