STACIE CHRISTINE BENNETT MD
NPI 1982660080
Pediatrics - Neonatal-Perinatal Medicine in Walnut Creek, CA

Q: What is Stacie Bennett's NPI number?

The NPI number for Stacie Bennett is 1982660080. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Q: What is Stacie Bennett's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Stacie Bennett was last updated on October 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 26, 2006PECOS Enrolled

1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598(925) 947-5350 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Stacie Christine Bennett Md NPPES

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

STACIE CHRISTINE BENNETT MD (NPI 1982660080) is an individual neonatal-perinatal medicine provider in Walnut Creek, California, licensed in California (A74688) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Davis School Of Medicine (1999).

NPPES Registry Identity

NPI1982660080

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameSTACIE CHRISTINE BENNETTCredential: MD

Location Address1601 YGNACIO VALLEY RDWalnut Creek, CA 94598-3122

Mailing Address1601 Ygnacio Valley RdWalnut Creek, CA 94598-3122 · (925) 947-5350

Phone(925) 947-5350

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1999

Enumeration DateApril 26, 2006

Last NPPES UpdateOctober 31, 2025

NPPES CertifiedOctober 31, 2025

✔ NPI 1982660080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in CA · A74688

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedSpecialistTaxonomy 174400000X · License A74688 (CA)

Also ListedPediatricsTaxonomy 208000000X · License A74688 (CA)

1601 YGNACIO VALLEY RD, Walnut Creek, CA 94598

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Secondary Practice Locations 2

Location 1725 Welch RdPalo Alto, CA 94304-1601 · Phone (650) 497-8000

Location 2747 52nd St, Neonatology 3rd FloorOakland, CA 94609-1809 · Phone (510) 428-3276 · Fax (510) 450-5823

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4183128721

PECOS Enrollment IDI20250917003375

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.

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