DR. STACEY PEEL CARROLL MD
NPI 1396207049
Student in an Organized Health Care Education/Training Program in Reno, NV
About Dr. Stacey Peel Carroll Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STACEY PEEL CARROLL MD (NPI 1396207049) is an individual student in an organized health care education/training program in Reno, Nevada, licensed in Nevada (LL4617) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Stacey Peel Carroll Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
RENO, NV 89509
RENO, NV 89509
RENO, NV 89509
RENO, NV 89509
RENO, NV 89509
RENO, NV 89509
RENO, NV 89509
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 Carroll's NPI number?
The NPI number for Stacey Carroll is 1396207049. It was assigned to this individual provider in the NPPES registry on April 2, 2019. The provider is also known as Stacey Anne Jurisch.
Where is Stacey Carroll located?
Stacey Carroll practices at 745 W Moana Ln Ste 300, Reno, NV 89509. The listed phone number is (775) 682-8497.
What is Stacey Carroll'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 Carroll enrolled in Medicare?
Yes. Stacey Carroll is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Stacey Carroll was last updated on June 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.
# Dr. Stacey Peel Carroll, MD · NPI 1396207049
Student in an Organized Health Care Education/Training Program provider in Reno, Nevada. Individual provider, active in the CMS NPPES registry since April 2, 2019.
## Identity
- **NPI:** 1396207049 (Entity type: Individual)
- **Enumerated:** April 2, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** LL4617 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 745 W MOANA LN STE 300, Reno, NV 89509-4980
- **Phone:** (775) 682-8497
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396207049) · Data from the CMS NPPES public registry.