STACIE LEAHY
NPI 1750748646
Dietitian, Registered in Medford, WI

Active since January 22, 2016
135 S GIBSON ST, MEDFORD, WI 54451(715) 748-8100 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacie Leahy NPPES

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

STACIE LEAHY (NPI 1750748646) is an individual dietitian, registered in Medford, Wisconsin and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1750748646
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSTACIE LEAHY
Location Address135 S GIBSON STMedford, WI 54451-1622
Mailing Address35669 50th AveStanley, WI 54768-6163
Sole ProprietorNo
Enumeration DateJanuary 22, 2016
✔ NPI 1750748646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
135 S GIBSON ST, Medford, WI 54451

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacie Leahy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Stacie Leahy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health
143 S GIBSON ST
Medford, WI 54451
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 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.

Other Providers at the Same Location NPPES 20

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

Skilled Nursing Facility
135 S GIBSON ST
MEDFORD, WI 54451
Registered Nurse
135 S GIBSON ST
MEDFORD, WI 54451
Pharmacy (Institutional Pharmacy)
135 S GIBSON ST
MEDFORD, WI 54451
Occupational Therapist
135 S GIBSON ST
MEDFORD, WI 54451
Physical Therapy Assistant
135 S GIBSON ST
MEDFORD, WI 54451
Clinical Medical Laboratory
135 S GIBSON ST
MEDFORD, WI 54451
Nurse Anesthetist, Certified Registered
135 S GIBSON ST
MEDFORD, WI 54451
Nurse Practitioner
135 S GIBSON ST
MEDFORD, WI 54451

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 Leahy's NPI number?

The NPI number for Stacie Leahy is 1750748646. It was assigned to this individual provider in the NPPES registry on January 22, 2016.

Where is Stacie Leahy located?

Stacie Leahy practices at 135 S Gibson St, Medford, WI 54451. The listed phone number is (715) 748-8100.

What is Stacie Leahy's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Stacie Leahy enrolled in Medicare?

Yes. Stacie Leahy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacie Leahy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Leahy reassigns Medicare benefits to Aspirus Medford Hospital & Clinics, Inc. (Medford, WI). The 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 Leahy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacie Leahy accept?

Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Stacie Leahy 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 Stacie Leahy was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.