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MRS. STACY LYN COMMODORE CRNA
NPI 1639409824
Nurse Anesthetist, Certified Registered in Morgantown, WV

Active since January 11, 2010Accepts Medicare Assignment
76.45/100
CMS Quality Rating
2000 MON HEALTH MEDICAL PARK DR STE 2001, MORGANTOWN, WV 26505(304) 720-8816(904) 494-6467 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2022, Dec 29, 2020, Jan 20, 2017 (3 updates tracked since 2017).

About Mrs. Stacy Lyn Commodore Crna NPPES

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

MRS. STACY LYN COMMODORE CRNA (NPI 1639409824) is an individual nurse anesthetist, certified registered in Morgantown, West Virginia, licensed in West Virginia (APRN62855) and active in the NPI registry since January 2010. She is a graduate of Other (2009).

NPPES Registry Identity

NPI1639409824
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. STACY LYN COMMODORECredential: CRNA
Location Address2000 MON HEALTH MEDICAL PARK DR STE 2001Morgantown, WV 26505-1167
Mailing AddressPo Box 3466Charleston, WV 25334-3466 · (304) 720-8816 · Fax (904) 494-6467
Phone(304) 720-8816
Fax(904) 494-6467
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 11, 2010
Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1639409824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WV · APRN62855
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2000 MON HEALTH MEDICAL PARK DR STE 2001, Morgantown, WV 26505
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Stacy Lyn Commodore Crna 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 ID6709913122
PECOS Enrollment IDI20100416000135

Medicare Billing Reassignments

5

Medicare enrollment records show Stacy Commodore reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regional Eye Associates, Inc.
0.4 mi
Ophthalmology
1255 PINEVIEW DR
Morgantown, WV 26505
  • Reassigned Medicare billing, West Virginia enrollment
  • 18 clinicians in this Medicare group
NPI 1336212075 (304) 598-3301
West Virginia University Medical Corporation
1.0 mi
Family Medicine
1 MEDICAL CENTER DRIVE
Morgantown, WV 26506
  • Reassigned Medicare billing, West Virginia enrollment
  • 2,471 clinicians in this Medicare group
NPI 1275504508 (304) 598-4800
United Hospital Center, Inc.
21 mi
Family Medicine
177 MIDDLETOWN RD STE 1
White Hall, WV 26554
  • Reassigned Medicare billing, West Virginia enrollment
  • 441 clinicians in this Medicare group
NPI 1194269589 (304) 363-6600
Mid-Atlantic Anesthesia Consultants, LLC
136 mi
Anesthesiology
1400 HOSPITAL DR
Hurricane, WV 25526
  • Reassigned Medicare billing, West Virginia enrollment
  • 32 clinicians in this Medicare group
NPI 1144248907 (304) 720-8816
Rgal Anesthesia Services LLC
193 mi
Anesthesiology
2104 HARRISBURG PIKE, SUITE 300
Lancaster, PA 17601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 267 clinicians in this Medicare group
NPI 1699055251 (717) 544-3400

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
607 services497 patients
Anesthesia for retinal surgery 00145
Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).
29 services28 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
18 services15 patients
Anesthesia for procedure on eyelid 00103
Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26505 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost21.5

Reported Quality Measures

Anesthesiology Smoking Abstinence
69%111 patients3/55-star benchmark: 100%
Obstructive Sleep Apnea: Mitigation Strategies
91%1,571 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

MIRANDA LYNN KING M.D.
Anesthesiology
2000 MON HEALTH MEDICAL PARK DR STE 2001
MORGANTOWN, WV 26505
Monongalia County (304) 720-8816
ROBERTO CHRISTIAN VALENZUELA MD
Anesthesiology
2000 MON HEALTH MEDICAL PARK DR STE 2001
MORGANTOWN, WV 26505
Monongalia County (304) 720-8816
PAUL M GERA M.D.
Anesthesiology
2000 MON HEALTH MEDICAL PARK DR STE 2001
MORGANTOWN, WV 26505
Monongalia County (304) 720-8816
MRS. KELLI BAGATINI MARREE CRNA
Nurse Anesthetist, Certified Registered
2000 MON HEALTH MEDICAL PARK DR STE 2001
MORGANTOWN, WV 26505
Monongalia County (304) 720-8816
KRISTEN RENEE BILPUH CRNA
Nurse Anesthetist, Certified Registered
2000 MON HEALTH MEDICAL PARK DR STE 2001
MORGANTOWN, WV 26505
Monongalia County (304) 720-8816
MELISSA ANN PALKO CRNA
Nurse Anesthetist, Certified Registered
2000 MON HEALTH MEDICAL PARK DR STE 2001
MORGANTOWN, WV 26505
Monongalia County (304) 720-8816
GARY RICHARD MARREE JR. CRNA
Nurse Anesthetist, Certified Registered
2000 MON HEALTH MEDICAL PARK DR STE 2001
MORGANTOWN, WV 26505
Monongalia County (304) 720-8816
ASHLEY LEA SWARTZ CRNA
Nurse Anesthetist, Certified Registered
2000 MON HEALTH MEDICAL PARK DR STE 2001
MORGANTOWN, WV 26505
Monongalia County (304) 720-8816

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 Commodore's NPI number?

The NPI number for Stacy Commodore is 1639409824. It was assigned to this individual provider in the NPPES registry on January 11, 2010.

Where is Stacy Commodore located?

Stacy Commodore practices at 2000 Mon Health Medical Park Dr Ste 2001, Morgantown, WV 26505. The listed phone number is (304) 720-8816.

What is Stacy Commodore's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Stacy Commodore enrolled in Medicare?

Yes. Stacy Commodore 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.

Which organizations bill Medicare for Stacy Commodore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Commodore reassigns Medicare benefits to 5 organizations: Regional Eye Associates, Inc. (Morgantown, WV), West Virginia University Medical Corporation (Morgantown, WV), United Hospital Center, Inc. (White Hall, WV), Mid-Atlantic Anesthesia Consultants, LLC (Hurricane, WV) and Rgal Anesthesia Services LLC (Lancaster, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Commodore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Commodore accept?

Health plans from CareSource list Stacy Commodore 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.

When was this NPI record last updated?

The NPPES record for Stacy Commodore was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.