STACY DAVIDSON CPNP-AC
NPI 1467028209
Nurse Practitioner - Pediatrics in Sacramento, CA
About Stacy Davidson Cpnp-ac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY DAVIDSON CPNP-AC (NPI 1467028209) is an individual pediatrics provider in Sacramento, California, licensed in California (95003179) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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 and accepts Medicare assignment
Stacy Davidson Cpnp-ac 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95817 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.
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
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 Stacy Davidson's NPI number?
The NPI number for Stacy Davidson is 1467028209. It was assigned to this individual provider in the NPPES registry on June 2, 2021. The provider is also known as Stacy Broich Rn.
Where is Stacy Davidson located?
Stacy Davidson practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-9200.
What is Stacy Davidson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Stacy Davidson enrolled in Medicare?
Yes. Stacy Davidson 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.
When was this NPI record last updated?
The NPPES record for Stacy Davidson was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Stacy Davidson, CPNP-AC · NPI 1467028209
Pediatrics physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since June 2, 2021.
## Identity
- **NPI:** 1467028209 (Entity type: Individual)
- **Enumerated:** June 2, 2021
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 95003179 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2315 STOCKTON BLVD, Sacramento, CA 95817-2201
- **Phone:** (916) 734-9200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1467028209) · Data from the CMS NPPES public registry.