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MS. STACEY CHALYN DANELLA NADIA REGIS M.D.
NPI 1386211415
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since June 08, 2021PECOS EnrolledAccepts Medicare Assignment
1611 NW 12 AVENUE, MIAMI, FL 33136(305) 585-5215(305) 585-8137 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2025, Mar 21, 2023, Jun 8, 2021 (3 updates tracked since 2021).

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

NPI1386211415
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. STACEY CHALYN DANELLA NADIA REGISCredential: M.D.
Location Address1611 NW 12 AVENUEMiami, FL 33136
Mailing Address1611 Nw 12 AvenueMiami, FL 33136 · (305) 585-5215 · Fax (305) 585-8137
Phone(305) 585-5215
Fax(305) 585-8137
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 8, 2021
Last NPPES UpdateMarch 21, 20233 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
✔ NPI 1386211415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1611 NW 12 AVENUE, Miami, FL 33136
Open in Google Maps ↗

Secondary Practice Location 1

Location 11611 NW 12 AvenueMiami, FL 33136 · Phone (305) 585-5215 ext. 4 · Fax (305) 585-8137

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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

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.

PECOS PAC ID648797928
PECOS Enrollment IDI20250509001314
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.

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, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

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.

MISS JESSICA FIRMEZA ARNP
Nurse Practitioner (Adult Health)
1611 NW 12 AVENUE
MIAMI, FL 33136
Miami-Dade County (305) 585-7011
MARIANA VELASQUEZ DURAN M.D.
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE
MIAMI, FL 33136
Miami-Dade County (305) 585-5095
KEYA ATUL GANATRA
Obstetrics & Gynecology
1611 NW 12 AVENUE, HOLTZ. CHILDRENS HOSPITAL, SUITE 4070
MIAMI, FL 33136
Miami-Dade County (305) 585-3771
BEATRIZ R ACEVEDO
Nurse Anesthetist, Certified Registered
1611 NW 12 AVENUE
MIAMI, FL 33136
Miami-Dade County (305) 585-6586
MARIAESTER MAKACIO MORILLO
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE
MIAMI, FL 33136
Miami-Dade County (305) 815-0608
DALIAN STEPHAN LETREN M.D.
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE
MIAMI, FL 33136
Miami-Dade County (305) 585-5215
DR. NOUF HIJAZI M.D.
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE
MIAMI, FL 33136
Miami-Dade County (305) 585-8381
SAMANTHA QUINTERO
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE
MIAMI, FL 33136
Miami-Dade County (305) 585-4310

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.

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.