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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Stacyann Anderson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
What insurance does Stacyann Anderson accept?
Health plans from Ambetter Health and Ambetter Health of Delaware 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 19 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
## 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.