MISS STACEY MELISSA BLACKMAN APN
NPI 1366760373
Nurse Practitioner - Primary Care in East Orange, NJ
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
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Stacey Blackman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, NJ 07101
- Reassigned Medicare billing, New Jersey enrollment
- 55 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, New Jersey enrollment
- 30 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, New Jersey enrollment
- 50 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, New Jersey enrollment
- 79 clinicians in this Medicare group
Paramus, NJ 07652
- Reassigned Medicare billing, New Jersey enrollment
- 144 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.
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.
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, NJPhysician 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.
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.
Which organizations bill Medicare for Stacey Blackman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Blackman reassigns Medicare benefits to 5 organizations: University Hospital (Newark, NJ), Dr Medical Services PC (New York, NY), Dr Rebman Bh LLC (New York, NY), Lumina Care Medical Nj LLC (New York, NY) and Drx Paramus, LLC (Paramus, NJ). 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 Stacey Blackman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Miss Stacey Melissa Blackman, APN · NPI 1366760373
Primary Care physician in East Orange, New Jersey. Individual provider, active in the CMS NPPES registry since May 14, 2010.
## Identity
- **NPI:** 1366760373 (Entity type: Individual)
- **Enumerated:** May 14, 2010
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 26NJ00286100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 9 WAYNE AVE, East Orange, NJ 07018
- **Phone:** (201) 341-8190
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): University Hospital (NPI 1023266962, Newark, NJ); Dr Medical Services PC (NPI 1053012401, New York, NY); Dr Rebman Bh LLC (NPI 1114894540, New York, NY); Lumina Care Medical Nj LLC (NPI 1851118319, New York, NY); Drx Paramus, LLC (NPI 1316272685, Paramus, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** July 25, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1366760373) · Data from the CMS NPPES public registry.