MRS. STACYANN ANDERSON FNP
NPI 1215595764
Nurse Practitioner - Family in East Orange, NJ
About Mrs. Stacyann Anderson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACYANN ANDERSON FNP (NPI 1215595764) is an individual family provider in East Orange, New Jersey, licensed in New Jersey (26NJ00904600) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Stacyann Anderson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Stacyann Anderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 34 clinicians in this Medicare group
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
Princess Anne, MD 21853
- Reassigned Medicare billing, New Jersey enrollment
- 79 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST ORANGE, NJ 07018
EAST ORANGE, NJ 07018
EAST ORANGE, NJ 07018
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 Stacyann Anderson's NPI number?
The NPI number for Stacyann Anderson is 1215595764. It was assigned to this individual provider in the NPPES registry on May 30, 2019.
Where is Stacyann Anderson located?
Stacyann Anderson practices at 220 S Harrison St, East Orange, NJ 07018. The listed phone number is (862) 438-8265.
What is Stacyann Anderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacyann Anderson enrolled in Medicare?
Yes. Stacyann Anderson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stacyann Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacyann Anderson reassigns Medicare benefits to 3 organizations: Livingston Hospital Physicians, P.A. (Livingston, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and Medical Director Services PC (Princess Anne, MD). 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 Stacyann Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacyann Anderson accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Stacyann Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stacyann Anderson was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Mrs. Stacyann Anderson, FNP · NPI 1215595764
Family physician in East Orange, New Jersey. Individual provider, active in the CMS NPPES registry since May 30, 2019.
## Identity
- **NPI:** 1215595764 (Entity type: Individual)
- **Enumerated:** May 30, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ00904600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 220 S HARRISON ST, East Orange, NJ 07018-1401
- **Phone:** (862) 438-8265
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Livingston Hospital Physicians, P.A. (NPI 1659372662, Livingston, NJ); Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ); Medical Director Services PC (NPI 1871955807, Princess Anne, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215595764) · Data from the CMS NPPES public registry.