STACEY MCFADDEN P.A.-C.
NPI 1982154548
Physician Assistant - Medical in Hallandale Beach, FL

Q: What is Stacey Mcfadden's NPI number?

The NPI number for Stacey Mcfadden is 1982154548. It was assigned to this individual provider in the NPPES registry on October 7, 2016.

Q: What is Stacey Mcfadden's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Mcfadden was last updated on September 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 07, 2016PECOS EnrolledAccepts Medicare Assignment

1117 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009(954) 454-6300(954) 241-6908 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stacey Mcfadden P.a.-c. NPPES

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

STACEY MCFADDEN P.A.-C. (NPI 1982154548) is an individual medical provider in Hallandale Beach, Florida, licensed in Florida (PA9109862) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1982154548

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSTACEY MCFADDENCredential: P.A.-C.

Location Address1117 E HALLANDALE BEACH BLVDHallandale Beach, FL 33009-4488

Mailing Address4341 Bougainvilla DrLauderdale By The Sea, FL 33308-5017 · (954) 492-8866 · Fax (954) 337-8180

Phone(954) 454-6300

Fax(954) 241-6908

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 7, 2016

Last NPPES UpdateSeptember 7, 2018

✔ NPI 1982154548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9109862

1117 E HALLANDALE BEACH BLVD, Hallandale Beach, FL 33009

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Other Identifiers 1

OtherPA9109862FL · State Of Florida Department Of Health

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 Mcfadden P.a.-c. 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 ID7416231238

PECOS Enrollment IDI20170222002824

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.

Other Providers at the Same Location NPPES 13

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

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