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MARY JAEGER STACY FNP
NPI 1790741072
Nurse Practitioner - Family in Manchester Center, VT

Active since April 25, 2006
5957 MAIN ST, NORTHSHIRE MEDICAL CENTER, MANCHESTER CENTER, VT 05255(802) 362-4440(802) 362-7146 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Jaeger Stacy Fnp NPPES

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

MARY JAEGER STACY FNP (NPI 1790741072) is an individual family provider in Manchester Center, Vermont, licensed in Vermont (101-0019775) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1790741072
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY JAEGER STACYCredential: FNP
Location Address5957 MAIN ST, NORTHSHIRE MEDICAL CENTERManchester Center, VT 05255-8913
Mailing Address5957 Main Street, Northshire Medical CenterManchester, VT 05255 · (802) 362-4440 · Fax (802) 362-7146
Phone(802) 362-4440
Fax(802) 362-7146
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateJanuary 13, 2014
✔ NPI 1790741072 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 VT · 101-0019775
5957 MAIN ST, Manchester Center, VT 05255
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Other Identifiers 2

Medicaid0NP1782VT
Medicare PINNP178203VT

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.

MS. NATACHA I JAGER MD
Family Medicine
5957 MAIN ST
MANCHESTER CENTER, VT 05255
Bennington County (802) 362-4440
DR. CARLIE MICHELLE FELION FNP, PMHNP
Nurse Practitioner (Family)
5957 MAIN ST
MANCHESTER CENTER, VT 05255
Bennington County (802) 362-4440
SOUTHWESTERN VERMONT MEDICAL CENTER INC
Orthopaedic Surgery
5957 MAIN ST
MANCHESTER CENTER, VT 05255
Bennington County (802) 362-4440
LIA B BRAICO FNP-BC
Nurse Practitioner (Family)
5957 MAIN ST
MANCHESTER CENTER, VT 05255
Bennington County (802) 362-4440
ROBERT SCHWARTZ MD
Family Medicine
5957 MAIN ST
MANCHESTER CENTER, VT 05255
Bennington County (802) 362-4440

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 Mary Stacy's NPI number?

The NPI number for Mary Stacy is 1790741072. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Mary Stacy located?

Mary Stacy practices at 5957 Main St Northshire Medical Center, Manchester Center, VT 05255. The listed phone number is (802) 362-4440.

What is Mary Stacy's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Stacy was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.