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STACEY AVIGNONE FNP-BC
NPI 1912650052
Nurse Practitioner - Family in White Plains, MD

Active since January 29, 2022PECOS EnrolledAccepts Medicare Assignment
4255 ALTAMONT PL STE 301, WHITE PLAINS, MD 20695(301) 645-1781 Get Directions Write a Review

NPPES record last updated: May 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2022, Jan 30, 2022 (2 updates tracked since 2022).

About Stacey Avignone Fnp-bc NPPES

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

STACEY AVIGNONE FNP-BC (NPI 1912650052) is an individual family provider in White Plains, Maryland, licensed in Maryland (R210076) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912650052
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY AVIGNONECredential: FNP-BC
Location Address4255 ALTAMONT PL STE 301White Plains, MD 20695-3082
Mailing Address4255 Altamont Pl Ste 301White Plains, MD 20695-3082
Phone(301) 645-1781
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 29, 2022
Last NPPES UpdateMay 15, 20222 updates tracked since enumeration
NPPES CertifiedApril 22, 2022
✔ NPI 1912650052 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 MD · R210076
4255 ALTAMONT PL STE 301, White Plains, MD 20695
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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

Stacey Avignone Fnp-bc 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 ID9234672148
PECOS Enrollment IDI20240620001250
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services60 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
37 services37 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
36 services36 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.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210028
Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20695 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 4

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

NICOLE THERESA KONSCHNIK
Physician Assistant
4255 ALTAMONT PL STE 301
WHITE PLAINS, MD 20695
Charles County (301) 645-1781
KARLA WASHINGTON NP
Nurse Practitioner (Family)
4255 ALTAMONT PL STE 301
WHITE PLAINS, MD 20695
Charles County (301) 645-1781
MEGHAN SEAMAN
Nurse Practitioner (Pediatrics)
4255 ALTAMONT PL STE 301
WHITE PLAINS, MD 20695
Charles County (301) 645-1781
AMANDA ADAMS CPNP-PC
Nurse Practitioner (Pediatrics)
4255 ALTAMONT PL STE 301
WHITE PLAINS, MD 20695
Charles County (301) 645-1781

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 Stacey Avignone's NPI number?

The NPI number for Stacey Avignone is 1912650052. It was assigned to this individual provider in the NPPES registry on January 29, 2022.

Where is Stacey Avignone located?

Stacey Avignone practices at 4255 Altamont Pl Ste 301, White Plains, MD 20695. The listed phone number is (301) 645-1781.

What is Stacey Avignone's specialty?

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

Is Stacey Avignone enrolled in Medicare?

Yes. Stacey Avignone 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.

Is Stacey Avignone affiliated with any hospitals?

According to CMS data, Stacey Avignone is affiliated with Medstar Saint Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Stacey Avignone was last updated on May 15, 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.