Stacy Lynn Brunquist, RNC ANP in Anchorage, AK

Stacy Lynn Brunquist, RNC ANP is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Anchorage, Alaska. Her current practice location is 3200 Providence Dr, Anchorage, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 212-5006.

Stacy Lynn Brunquist is licensed to practice in Alaska (license number 1095) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104059492.

Contact Information

	Stacy Lynn Brunquist, RNC ANP
	3200 Providence Dr, Anchorage, AK 99508-4615
	(907) 212-5006
	(907) 212-4896

Map and Direction

Provider's Profile

Full Name	Stacy Lynn Brunquist
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	3200 Providence Dr, Anchorage, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104059492
Provider Enumeration Date: 09/02/2009
Last Update Date: 05/17/2021

Medicare PECOS Information:

PECOS PAC ID: 9739347717
Enrollment ID: I20160229002850

Medical Identifiers

Medical identifiers for Stacy Lynn Brunquist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104059492	NPI	-	NPPES
1570883	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	1095 (Alaska)	Primary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	200950111NP NNP-PP (Oregon)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacy Lynn Brunquist allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467547265 PECOS PAC ID: 2163335746 Enrollment ID: O20031110000525

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Lynn Brunquist is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stacy Lynn Brunquist, RNC ANP Po Box 4105, Portland, OR 97208-4105 Ph: (866) 907-1068	Stacy Lynn Brunquist, RNC ANP 3200 Providence Dr, Anchorage, AK 99508-4615 Ph: (907) 212-5006

Reviews and Comments

Nurse Practitioner Nurses in Anchorage, AK

Ms. Mary Kay Mccarty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3925 Tudor Centre Dr, #100, Anchorage, AK 99508 Phone: 907-561-8301 Fax: 907-561-8170
Mindy Lorin Schloss, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6852 Cutty Sark St, Anchorage, AK 99502 Phone: 907-243-5936
Katherine L Sterner, A.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4201 Tudor Centre Dr, Suite 320, Anchorage, AK 99508 Phone: 907-729-4955
Sandra Frenier, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3340 Providence Dr, Suite 452, Anchorage, AK 99508 Phone: 907-562-2120
Janet A Bloch, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3851 Piper St, U340, Anchorage, AK 99508 Phone: 907-562-0321 Fax: 907-562-2683
Lois A Rockcastle, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3801 University Lake Dr Ste 205, Anchorage, AK 99508 Phone: 907-563-1600 Fax: 907-563-0100
Mrs. Megan Renee Hathcoat, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Airport Heights Dr Ste 200, Anchorage, AK 99508 Phone: 907-262-4278

Stacy Lynn Brunquist, RNC ANP - Medicare Nurse Practitioner in Anchorage, AK