MS. STACEY CHALYN DANELLA NADIA REGIS M.D.
NPI 1386211415
Student in an Organized Health Care Education/Training Program in Miami, FL
About Ms. Stacey Chalyn Danella Nadia Regis M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. STACEY CHALYN DANELLA NADIA REGIS M.D. (NPI 1386211415) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and maintains a secondary practice location in Miami.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Ms. Stacey Chalyn Danella Nadia Regis M.d. 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 Reassignment
Medicare enrollment records show Stacey Regis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32224
- Reassigned Medicare billing, Florida enrollment
- 1,828 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic
Acute Care Hospitals · Jacksonville, FLOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
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 Regis's NPI number?
The NPI number for Stacey Regis is 1386211415. It was assigned to this individual provider in the NPPES registry on June 8, 2021.
Where is Stacey Regis located?
Stacey Regis practices at 1611 NW 12 Avenue, Miami, FL 33136. The listed phone number is (305) 585-5215.
What is Stacey Regis's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Stacey Regis enrolled in Medicare?
Yes. Stacey Regis 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 organization bills Medicare for Stacey Regis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Regis reassigns Medicare benefits to Mayo Clinic Jacksonville (Jacksonville, FL). The 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 Regis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Regis accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Stacey Regis 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.
Is Stacey Regis affiliated with any hospitals?
According to CMS data, Stacey Regis is affiliated with Mayo Clinic.
When was this NPI record last updated?
The NPPES record for Stacey Regis was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Stacey Chalyn Danella Nadia Regis, M.D. · NPI 1386211415
Student in an Organized Health Care Education/Training Program provider in Miami, Florida. Individual provider, active in the CMS NPPES registry since June 8, 2021.
## Identity
- **NPI:** 1386211415 (Entity type: Individual)
- **Enumerated:** June 8, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1611 NW 12 AVENUE, Miami, FL 33136
- **Phone:** (305) 585-5215 · **Fax:** (305) 585-8137
## 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:** Mayo Clinic Jacksonville (NPI 1174143986, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1386211415) · Data from the CMS NPPES public registry.