MISS STACEY MELISSA BLACKMAN APN
NPI 1366760373
Nurse Practitioner - Primary Care in East Orange, NJ

Active since May 14, 2010PECOS EnrolledAccepts Medicare Assignment
9 WAYNE AVE, EAST ORANGE, NJ 07018(201) 341-8190 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Stacey Melissa Blackman Apn NPPES

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

MISS STACEY MELISSA BLACKMAN APN (NPI 1366760373) is an individual primary care provider in East Orange, New Jersey, licensed in New Jersey (26NJ00286100) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1366760373
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMISS STACEY MELISSA BLACKMANCredential: APN
Location Address9 WAYNE AVEEast Orange, NJ 07018
Mailing Address9 Wayne AveEast Orange, NJ 07018-1907 · (201) 341-8190
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 14, 2010
Last NPPES UpdateJuly 25, 2018
NPI 1366760373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in NJ · 26NJ00286100
Also ListedLegal MedicineTaxonomy 173000000X · License 26NJ00286100 (NJ)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ00286100 (NJ)
9 WAYNE AVE, East Orange, NJ 07018

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miss Stacey Melissa Blackman Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234479668
PECOS Enrollment IDI20190322000102
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

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.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 Blackman's NPI number?

The NPI number for Stacey Blackman is 1366760373. It was assigned to this individual provider in the NPPES registry on May 14, 2010.

Where is Stacey Blackman located?

Stacey Blackman practices at 9 Wayne Ave, East Orange, NJ 07018. The listed phone number is (201) 341-8190.

What is Stacey Blackman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Stacey Blackman enrolled in Medicare?

Yes. Stacey Blackman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Stacey Blackman affiliated with any hospitals?

According to CMS data, Stacey Blackman is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Stacey Blackman was last updated on July 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.