STACEY BRYANT NP
NPI 1376521369
Nurse Practitioner - Gerontology in Medford, MA
About Stacey Bryant Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY BRYANT NP (NPI 1376521369) is an individual gerontology provider in Medford, Massachusetts, licensed in Massachusetts (215935) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
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
Stacey Bryant Np 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
2Medicare enrollment records show Stacey Bryant reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Medford, MA 02155
- Reassigned Medicare billing, Massachusetts enrollment
- Medicare enrollment name: Melrosewakefield Healthcare, Inc
- 140 clinicians in this Medicare group
Wilmington, MA 01887
- Reassigned Medicare billing, Massachusetts enrollment
- 33 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02155 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEDFORD, MA 02155
MEDFORD, MA 02155
MEDFORD, MA 02155
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 Bryant's NPI number?
The NPI number for Stacey Bryant is 1376521369. It was assigned to this individual provider in the NPPES registry on January 9, 2006.
Where is Stacey Bryant located?
Stacey Bryant practices at 170 Governors Ave Hallmark Health System, Inc., Medford, MA 02155. The listed phone number is (781) 306-6000.
What is Stacey Bryant's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Stacey Bryant enrolled in Medicare?
Yes. Stacey Bryant 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 Bryant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Bryant reassigns Medicare benefits to 2 organizations: Hallmark Health System Inc (Medford, MA) and 360 Healthcare LLC (Wilmington, MA). 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 Bryant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Bryant accept?
Health plans from Anthem Blue Cross and Blue Shield, Taro Health and WellSense Health Plan list Stacey Bryant 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 Stacey Bryant was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Stacey Bryant, NP · NPI 1376521369
Gerontology physician in Medford, Massachusetts. Individual provider, active in the CMS NPPES registry since January 9, 2006.
## Identity
- **NPI:** 1376521369 (Entity type: Individual)
- **Enumerated:** January 9, 2006
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 215935 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 170 GOVERNORS AVE, HALLMARK HEALTH SYSTEM, INC., Medford, MA 02155-1643
- **Phone:** (781) 306-6000 · **Fax:** (781) 306-6085
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Hallmark Health System Inc (NPI 1275673667, Medford, MA); 360 Healthcare LLC (NPI 1841919297, Wilmington, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** May 20, 2013
- **Other identifiers:** Medicaid 1200992 (MA); Medicare ID-Type Unspecified NP2345 (MA); Medicare UPIN P02087; and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1376521369) · Data from the CMS NPPES public registry.