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MRS. STACEY KOEKKOEK MS RD, LDN, LMHC
NPI 1982898177
Dietitian, Registered in Wayland, MA

Active since August 30, 2007Opted out of Medicare · through Oct 7, 2026
260 BOSTON POST RD, WAYLAND, MA 01778(508) 276-1743 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Stacey Koekkoek Ms Rd, Ldn, Lmhc NPPES

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

MRS. STACEY KOEKKOEK MS RD, LDN, LMHC (NPI 1982898177) is an individual dietitian, registered in Wayland, Massachusetts, licensed in Massachusetts (2606) and active in the NPI registry since August 2007. She has opted out of Medicare through October 7, 2026.

NPPES Registry Identity

NPI1982898177
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. STACEY KOEKKOEKCredential: MS RD, LDN, LMHC
Location Address260 BOSTON POST RDWayland, MA 01778-1889
Mailing Address260 Boston Post Rd, Suite 11Wayland, MA 01778-1889 · (508) 276-1743
Phone(508) 276-1743
Sole ProprietorYes
Enumeration DateAugust 30, 2007
Last NPPES UpdateApril 4, 2017
✔ NPI 1982898177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MA · 2606
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.
260 BOSTON POST RD, Wayland, MA 01778
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Stacey Koekkoek Ms Rd, Ldn, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 7, 2024 through October 7, 2026.

Opt-Out Effective DateOctober 7, 2024
Opt-Out In Effect ThroughOctober 7, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

DAVID V. REGAN, O.D., F.A.A.O. PC, INC.
Optometrist
260 BOSTON POST RD, SUITE 3
WAYLAND, MA 01778
Middlesex County (508) 358-4757
CARRIE BAILEY MS, OTR/L
Occupational Therapist
260 BOSTON POST RD
WAYLAND, MA 01778
Middlesex County (585) 747-9902
STACEY KOEKKOEK
Counselor (Mental Health)
260 BOSTON POST RD, SUITE 11
WAYLAND, MA 01778
Middlesex County (508) 276-1743
KAREN LOUISE CONDOURIS SLP/CCC
Speech-Language Pathologist
260 BOSTON POST RD
WAYLAND, MA 01778
Middlesex County (978) 314-0010
AGEWELL, LLC
Home Health
260 BOSTON POST RD, SUITE 9
WAYLAND, MA 01778
Middlesex County (508) 545-0164
KELSEY BOYCE MS CF-SLP
Speech-Language Pathologist
260 BOSTON POST RD
WAYLAND, MA 01778
Middlesex County (585) 747-9902

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 Koekkoek's NPI number?

The NPI number for Stacey Koekkoek is 1982898177. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Stacey Koekkoek located?

Stacey Koekkoek practices at 260 Boston Post Rd, Wayland, MA 01778. The listed phone number is (508) 276-1743.

What is Stacey Koekkoek's specialty?

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

Is Stacey Koekkoek enrolled in Medicare?

No. Stacey Koekkoek has opted out of Medicare through October 7, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Stacey Koekkoek accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Stacey Koekkoek 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 Stacey Koekkoek was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.