STACY-ANN WAYNE MD
NPI 1376047787
Psychiatry & Neurology - Child & Adolescent Psychiatry in Richmond, VA

Q: What is Stacy-ann Wayne's NPI number?

The NPI number for Stacy-ann Wayne is 1376047787. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Q: What is Stacy-ann Wayne's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Stacy-ann Wayne was last updated on January 8, 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.

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment

1308 SHERWOOD AVE, RICHMOND, VA 23220(804) 828-3129(804) 628-1236 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Stacy-ann Wayne Md NPPES

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

STACY-ANN WAYNE MD (NPI 1376047787) is an individual child & adolescent psychiatry provider in Richmond, Virginia, licensed in Virginia (0101274642) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1376047787

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameSTACY-ANN WAYNECredential: MD

Location Address1308 SHERWOOD AVERichmond, VA 23220-1210

Mailing AddressPo Box 780125Philadelphia, PA 19178-0125 · (048) 283-1298 · Fax (804) 628-1236

Phone(804) 828-3129

Fax(804) 628-1236

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 20, 2018

Last NPPES UpdateJanuary 8, 2024

NPPES CertifiedJanuary 8, 2024

✔ NPI 1376047787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in VA · 0101274642

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

1308 SHERWOOD AVE, Richmond, VA 23220

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Secondary Practice Locations 3

Location 11945 State Route 33 # Rosa122Neptune, NJ 07753-4859 · Phone (732) 776-3712

Location 21200 E Broad StRichmond, VA 23298-5025 · Phone (804) 628-9346

Location 32924 Brook RdRichmond, VA 23220-1215 · Phone (804) 628-9346

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

Stacy-ann Wayne Md 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 ID6103220090

PECOS Enrollment IDI20240117000669

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.

Other Providers at the Same Location NPPES 20

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

CAITLIN ROSE LARSEN-MORALES

Psychologist (Clinical Child & Adolescent)