MRS. STACIE TERESA MCCALLY FNP
NPI 1679183172
Nurse Practitioner - Family in Broomfield, CO
About Mrs. Stacie Teresa Mccally Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACIE TERESA MCCALLY FNP (NPI 1679183172) is an individual family provider in Broomfield, Colorado, licensed in Colorado (APN.0995946-NP) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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. Stacie Teresa Mccally Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stacie Mccally reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, CO 80027
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Boulder Medical Center, PC
- 85 clinicians in this Medicare group
Highlands Ranch, CO 80126
- Reassigned Medicare billing, Colorado enrollment
- 205 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80020 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOMFIELD, CO 80020
BROOMFIELD, CO 80020
BROOMFIELD, CO 80020
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 Stacie Mccally's NPI number?
The NPI number for Stacie Mccally is 1679183172. It was assigned to this individual provider in the NPPES registry on August 9, 2020.
Where is Stacie Mccally located?
Stacie Mccally practices at 12167 Sheridan Blvd, Broomfield, CO 80020. The listed phone number is (303) 658-9807.
What is Stacie Mccally's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacie Mccally enrolled in Medicare?
Yes. Stacie Mccally 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 Stacie Mccally's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Mccally reassigns Medicare benefits to 2 organizations: Boulder Medical Center, P.C. (Louisville, CO) and The Little Clinic Of Colorado, LLC (Highlands Ranch, CO). 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 Stacie Mccally's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stacie Mccally was last updated on August 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Stacie Teresa Mccally, FNP · NPI 1679183172
Family physician in Broomfield, Colorado. Individual provider, active in the CMS NPPES registry since August 9, 2020.
## Identity
- **NPI:** 1679183172 (Entity type: Individual)
- **Enumerated:** August 9, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN.0995946-NP (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 12167 SHERIDAN BLVD, Broomfield, CO 80020-2417
- **Phone:** (303) 658-9807
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Boulder Medical Center, P.C. (NPI 1699308452, Louisville, CO); The Little Clinic Of Colorado, LLC (NPI 1538354568, Highlands Ranch, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1679183172) · Data from the CMS NPPES public registry.