STACEY ANN WALKER M.D.
NPI 1386668655
Internal Medicine in Penn Yan, NY

Q: What is Stacey Walker's NPI number?

The NPI number for Stacey Walker is 1386668655. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Stacey Walker's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Walker was last updated on February 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 July 27, 2006PECOS Enrolled

112 KIMBALL AVE, PENN YAN, NY 14527(315) 536-2752(315) 536-4005 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Stacey Ann Walker M.d. NPPES

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

STACEY ANN WALKER M.D. (NPI 1386668655) is an individual internal medicine provider in Penn Yan, New York, licensed in New York (239852) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386668655

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSTACEY ANN WALKERCredential: M.D.

Location Address112 KIMBALL AVEPenn Yan, NY 14527-1816

Mailing Address14 Maiden Ln, Po Box 423Penn Yan, NY 14527-1208 · (315) 531-9102 · Fax (315) 531-9103

Phone(315) 536-2752

Fax(315) 536-4005

Sole ProprietorNo

Enumeration DateJuly 27, 2006

Last NPPES UpdateFebruary 16, 2017

✔ NPI 1386668655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 239852

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 239852 (NY)

112 KIMBALL AVE, Penn Yan, NY 14527

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Other Identifiers 3

Medicaid02799228NY

Medicare PINJ400330022NY

Other239852NY · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Ann Walker M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Stacey Walker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Finger Lakes Community Health

Same address

Federally Qualified Health Center (FQHC)

112 KIMBALL AVE
Penn Yan, NY 14527

Reassigned Medicare billing, New York enrollment
40 clinicians in this Medicare group

NPI 1649519273 (315) 531-9102

Monroe Ddso Clinic Pittsford

34 mi

Developmental Disabilities

1160 PITTSFORD VICTOR RD STE G
Pittsford, NY 14534

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: State Of New York Comptrollers Office
342 clinicians in this Medicare group

NPI 1063546778 (518) 402-4333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14527 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

BRANDON J JACKEL NP

Nurse Practitioner