STACY LYNN FENNELL D.O.
NPI 1477846582
General Practice in Fort Sam Houston, TX

Q: What is Stacy Fennell's NPI number?

The NPI number for Stacy Fennell is 1477846582. It was assigned to this individual provider in the NPPES registry on May 23, 2011.

Q: What is Stacy Fennell's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Fennell was last updated on May 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 23, 2011PECOS Enrolled

3851 ROGER BROOKE DR, MCHE-EMR, FORT SAM HOUSTON, TX 78234(210) 292-7626 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stacy Lynn Fennell D.o. NPPES

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

STACY LYNN FENNELL D.O. (NPI 1477846582) is an individual general practice provider in Fort Sam Houston, Texas, licensed in Indiana (02004134A) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477846582

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameSTACY LYNN FENNELLCredential: D.O.

Location Address3851 ROGER BROOKE DR, MCHE-EMRFort Sam Houston, TX 78234-4501

Mailing Address8344 Versailles Se RdBradford, OH 45308-9602 · (937) 974-8352

Phone(210) 292-7626

Sole ProprietorNo

Enumeration DateMay 23, 2011

Last NPPES UpdateMay 23, 2014

✔ NPI 1477846582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IN · 02004134A

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3851 ROGER BROOKE DR, Fort Sam Houston, TX 78234

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Lynn Fennell D.o. 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.

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.

MARGARET JACKSON PSY.D.

Psychologist

3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 916-1600

DR. RAJNIKANT C PATEL M.D

Anesthesiology (Critical Care Medicine)

3851 ROGER BROOKE DR, MCHE-QD (CREDENTIALS)
FORT SAM HOUSTON, TX 78234

Bexar County (210) 916-2118

FRANCIS KOBINA AGYAPONG NP

Nurse Practitioner (Acute Care)

3851 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER, MCHE-QD(CREDS)
FORT SAM HOUSTON, TX 78234

Bexar County (719) 466-0576

MS. NATALIE R CHANG-MASON

Occupational Therapy Assistant

3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 916-5805

CONRAD GREGORY HAWKINS

Physical Therapist

3851 ROGER BROOKE DR, MCHE-QD (CRENDENTIALS)
FORT SAM HOUSTON, TX 78234

Bexar County (210) 916-2460

DR. CRAIG CAMPBELL MCFARLAND MD

Anesthesiology

3851 ROGER BROOKE DR, MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234

Bexar County (210) 916-2460

ANDRE JOHN OGNIBENE MD

Internal Medicine

3851 ROGER BROOKE DR, MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234

Bexar County (210) 916-5993

DR. MICHAEL DAY DULLEA M.D.

Radiology (Therapeutic Radiology)

3851 ROGER BROOKE DR, MCHE-QD (CREDENTIALS)
FORT SAM HOUSTON, TX 78234

Bexar County (210) 916-5046

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 Fennell's NPI number?

The NPI number for Stacy Fennell is 1477846582. It was assigned to this individual provider in the NPPES registry on May 23, 2011.

Where is Stacy Fennell located?

Stacy Fennell practices at 3851 Roger Brooke Dr Mche-Emr, Fort Sam Houston, TX 78234. The listed phone number is (210) 292-7626.

What is Stacy Fennell's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Stacy Fennell enrolled in Medicare?

Yes. Stacy Fennell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Fennell was last updated on May 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.