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STACEY GAO CRNP
NPI 1154151108
Nurse Practitioner - Family in Philadelphia, PA

Active since August 05, 2024PECOS Enrolled
1010 COTTMAN AVE, PHILADELPHIA, PA 19111(215) 970-9500 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Stacey Gao Crnp NPPES

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

STACEY GAO CRNP (NPI 1154151108) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP030201) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1154151108
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY GAOCredential: CRNP
Location Address1010 COTTMAN AVEPhiladelphia, PA 19111-3644
Mailing Address2360 Oxfordshire RdFurlong, PA 18925-1252
Phone(215) 970-9500
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
✔ NPI 1154151108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP030201
1010 COTTMAN AVE, Philadelphia, PA 19111
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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)

Stacey Gao Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264996263
PECOS Enrollment IDI20260710001440
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 19111 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 3

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

DR. SHUANG WANG M.D.
Internal Medicine
1010 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 970-9500
XINYU LI
Physician Assistant
1010 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 970-9500
ABC URGENT CARE LLC
Clinic/Center (Urgent Care)
1010 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 970-9500

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 Gao's NPI number?

The NPI number for Stacey Gao is 1154151108. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Stacey Gao located?

Stacey Gao practices at 1010 Cottman Ave, Philadelphia, PA 19111. The listed phone number is (215) 970-9500.

What is Stacey Gao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacey Gao enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stacey Gao was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.