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

Q: 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.

Q: What is Staci Tanouye's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Staci Tanouye was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 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: October 25, 2026.

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

On this page

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

Open in Google Maps ↗

Other Identifiers 1

Medicaid010025600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Cigna Healthcare and more.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

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.

Medicare Billing Reassignments

Medicare enrollment records show Staci Tanouye reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Women's Care Florida LLC

173 mi

Obstetrics & Gynecology

4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Womens Care Florida LLC
679 clinicians in this Medicare group

NPI 1013902923 (813) 286-0333

Womens' Health Hospitalists, LLC

173 mi

Obstetrics & Gynecology

4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607

Reassigned Medicare billing, Florida enrollment
619 clinicians in this Medicare group

NPI 1205295599 (813) 286-0333

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.

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 3

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

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · 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.

Which organizations bill Medicare for Staci Tanouye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Staci Tanouye reassigns Medicare benefits to 2 organizations: Women's Care Florida LLC (Tampa, FL) and Womens' Health Hospitalists, LLC (Tampa, FL). 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 Staci Tanouye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Staci Tanouye accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 2 other insurers 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, Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Staci Tanouye was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.