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STACI L TANOUYE M.D.
NPI 1679739775
Obstetrics & Gynecology in Jacksonville Beach, FL

Active since July 29, 2008PECOS EnrolledAccepts Medicare Assignment
1361 13TH AVE S STE &110&115, JACKSONVILLE BEACH, FL 32250(904) 247-5514(904) 247-3363 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 22, 2023, Oct 27, 2022, Nov 19, 2020 and 1 more (4 updates tracked since 2019).

About Staci L Tanouye M.d. NPPES

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

STACI L TANOUYE M.D. (NPI 1679739775) is an individual obstetrics & gynecology provider in Jacksonville Beach, Florida, licensed in Florida (ME117299) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Saint Louis University School Of Medicine (2008).

NPPES Registry Identity

NPI1679739775
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSTACI L TANOUYECredential: M.D.
Location Address1361 13TH AVE S STE &110&115Jacksonville Beach, FL 32250-3233
Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806
Phone(904) 247-5514
Fax(904) 247-3363
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2008
Enumeration DateJuly 29, 2008
Last NPPES UpdateJune 22, 20234 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1679739775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME117299✔ Licensed in MN · 52096
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1361 13TH AVE S STE &110&115, Jacksonville Beach, FL 32250
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Other Identifiers 1

Medicaid010025600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare.Insurance ›

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

Staci L Tanouye M.d. 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 ID5294880191
PECOS Enrollment IDI20131206000181
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.

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
45 services45 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
27 services27 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
25 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32250 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 3

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

DR. JAMES V O'LEARY MD
Obstetrics & Gynecology
1361 13TH AVE S STE &110&115
JACKSONVILLE BEACH, FL 32250
Duval County (904) 247-5514
DIANA ROGERS BISHOP NP
Nurse Practitioner (Family)
1361 13TH AVE S STE &110&115
JACKSONVILLE BEACH, FL 32250
Duval County (904) 247-5514
ASHLEY N JEWELS APRN
Nurse Practitioner (Family)
1361 13TH AVE S STE &110&115
JACKSONVILLE BEACH, FL 32250
Duval County (904) 247-5514

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 Staci Tanouye's NPI number?

The NPI number for Staci Tanouye is 1679739775. It was assigned to this individual provider in the NPPES registry on July 29, 2008.

Where is Staci Tanouye located?

Staci Tanouye practices at 1361 13th Ave S Ste &110&115, Jacksonville Beach, FL 32250. The listed phone number is (904) 247-5514.

What is Staci Tanouye's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Staci Tanouye enrolled in Medicare?

Yes. Staci Tanouye 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.

What insurance does Staci Tanouye accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Staci Tanouye 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.

Is Staci Tanouye affiliated with any hospitals?

According to CMS data, Staci Tanouye is affiliated with Ascension St Vincent's Riverside and Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Staci Tanouye was last updated on June 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.