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STACY LEA DWYER APRN-CNP
NPI 1730651779
Nurse Practitioner - Family in Oklahoma City, OK

Active since December 31, 2018PECOS Enrolled
4140 W MEMORIAL RD STE 215, OKLAHOMA CITY, OK 73120(405) 242-4030(405) 242-4031 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Lea Dwyer Aprn-cnp NPPES

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

STACY LEA DWYER APRN-CNP (NPI 1730651779) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (102223) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730651779
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY LEA DWYERCredential: APRN-CNP
Location Address4140 W MEMORIAL RD STE 215Oklahoma City, OK 73120-8361
Mailing Address4140 W Memorial Rd Ste 215Oklahoma City, OK 73120-8361 · (405) 242-4030 · Fax (405) 242-4031
Phone(405) 242-4030
Fax(405) 242-4031
Sole ProprietorNo
Enumeration DateDecember 31, 2018
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1730651779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 102223
4140 W MEMORIAL RD STE 215, Oklahoma City, OK 73120
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica.Insurance ›

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 Lea Dwyer Aprn-cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
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 5

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

KRISTINE MARIE THOMPSON APRN-CNP
Nurse Practitioner
4140 W MEMORIAL RD STE 215
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 242-4030
DR. JOAQUIN AMADO LAWS-RODRIGUEZ PHD, LPC-S
Psychologist
4140 W MEMORIAL RD STE 215
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 486-8188
DR. LAURA E FISCHER M.D., M.S.
Surgery
4140 W MEMORIAL RD STE 215
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 486-8188
MADISON DIXON MS, RD
Dietitian, Registered
4140 W MEMORIAL RD STE 215
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 486-8188
KELLY R KIMBRELL APRN
Nurse Practitioner (Family)
4140 W MEMORIAL RD STE 215
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 242-4030

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 Dwyer's NPI number?

The NPI number for Stacy Dwyer is 1730651779. It was assigned to this individual provider in the NPPES registry on December 31, 2018.

Where is Stacy Dwyer located?

Stacy Dwyer practices at 4140 W Memorial Rd Ste 215, Oklahoma City, OK 73120. The listed phone number is (405) 242-4030.

What is Stacy Dwyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacy Dwyer enrolled in Medicare?

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

What insurance does Stacy Dwyer accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Stacy Dwyer 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 Dwyer was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.