Timothy James Stacy is a Sherman Oaks, California based nurse practitioner with 20 years of experience in Acute Care. He completed his graduation in 2004. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Timothy James Stacy is 15005 for Acute Care in California. His current practice location is 4955 Van Nuys Blvd, Suite 502, Sherman Oaks. Patients can reach him at 818-325-0200 or can fax him at 818-325-0210. Timothy James Stacy is ACNP with specialization in Acute Care and his NPI number (Unique professional ID assigned by NPPES) is 1457356479. Timothy James Stacy is a licensed independent practitioner and may autonomously provide care. He provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Timothy James Stacy speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Timothy James Stacy
Specialization:
Acute Care Nurse Practitioner (ACNP)
Gender:
Male
Credentials:
ACNP
Experience:
20+ years
Medical School Attended:
Other
Graduation Year:
2004
Accepts Medicare Assignment:
Yes
Practice Address:
4955 Van Nuys Blvd, Suite 502, Sherman Oaks, California, 91403-1801
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7214990308
Enrollment ID:
I20041109001174
NPI Number:
1457356479
NPI Enumeration Date:
16 Jun, 2005
NPI Last Update On:
23 Feb, 2010
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timothy James Stacy are as mentioned below.
License Number
Specialization
State
Status
15005
Acute Care
California
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(050755)
Sherman oaks, CA
Acute Care Hospital
(050158)
Encino, CA
Acute Care Hospital
(050764)
Redding, CA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Timothy James Stacy is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Epic Medical Group,inc (4385883958)
39
Tripleaim Healthcare (7012300304)
5
Other Medical Identifiers:
Other legacy medical identifiers associated with Timothy James Stacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
NP0150050
Medicaid
California
2571636
Medicaid
California
B1180Z
Other
California
MEDICARE PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Timothy James Stacy 5268 Huckleberry Oak Street, Simi Valley, California
Zip:
93063
Phone Number:
805-208-0434
Patients can reach Timothy James Stacy at 4955 Van Nuys Blvd, Suite 502, Sherman Oaks, California or can call to book an appointment on 818-325-0200.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.