Timothy James Stacy, ACNP - Medicare Nurse Practitioner in Sherman Oaks, CA

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Timothy James Stacy, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Sherman Oaks, California. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Epic Medical Group,inc and his current practice location is 4955 Van Nuys Blvd, Suite 502, Sherman Oaks, California. You can reach out to his office (for appointments etc.) via phone at (818) 325-0200.

Timothy James Stacy is licensed to practice in California (license number 15005) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457356479.

Contact Information

Timothy James Stacy, ACNP
4955 Van Nuys Blvd, Suite 502,
Sherman Oaks, CA 91403-1801
(818) 325-0200
(818) 325-0210

Map and Direction




Provider's Profile

Full NameTimothy James Stacy
GenderMale
SpecialityNurse Practitioner
Experience20 Years
Location4955 Van Nuys Blvd, Sherman Oaks, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Timothy James Stacy graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1457356479
  • Provider Enumeration Date: 06/16/2005
  • Last Update Date: 02/23/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7214990308
  • Enrollment ID: I20041109001174

Medical Identifiers

Medical identifiers for Timothy James Stacy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457356479NPI-NPPES
NP0150050MedicaidCA
2571636MedicaidCA
B1180ZOtherCAMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 15005 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sherman Oaks HospitalSherman oaks, CAHospital
Encino Hospital Medical CenterEncino, CAHospital

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. Timothy James Stacy allows following entities to bill medicare on his behalf.
Entity NameArcadia Hospitalist Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114365269
PECOS PAC ID: 1951555366
Enrollment ID: O20130213000181
Entity NameEpic Medical Group,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295178689
PECOS PAC ID: 4385883958
Enrollment ID: O20130612000470
Entity NameGlendale Hospitalist Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427565506
PECOS PAC ID: 8729348289
Enrollment ID: O20180201002916
Entity NameSt. Joseph Intensivist Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801302484
PECOS PAC ID: 6608137757
Enrollment ID: O20180306001106
Entity NameArcadia Intensivist Group Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598361669
PECOS PAC ID: 9537574223
Enrollment ID: O20210210000588
Entity NameParadigm Healthcare Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467678391
PECOS PAC ID: 8820496755
Enrollment ID: O20211007001506
Entity NameTripleaim Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972254332
PECOS PAC ID: 7012300304
Enrollment ID: O20220209001401
Entity NameTripleaim Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972254332
PECOS PAC ID: 7012300304
Enrollment ID: O20220304000722

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. Timothy James Stacy 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 AddressPractice Location Address
Timothy James Stacy, ACNP
5268 Huckleberry Oak Street,
Simi Valley, CA 93063

Ph: (805) 208-0434		Timothy James Stacy, ACNP
4955 Van Nuys Blvd, Suite 502,
Sherman Oaks, CA 91403-1801

Ph: (818) 325-0200

Reviews and Comments


Nurse Practitioner Nurses in Sherman Oaks, CA

Somaly Sith, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4849 Van Nuys Blvd # 202, Sherman Oaks, CA 91403
Phone: 404-213-0453    
Arianna Tang, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14322 Dickens St Unit 8, Sherman Oaks, CA 91423
Phone: 760-995-6972    
Mrs. Allison W Dolphin, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14735 Ventura Blvd, Sherman Oaks, CA 91403
Phone: 818-788-0208    
Jennifer Quandt Nunez, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15477 Ventura Blvd, Sherman Oaks, CA 91403
Phone: 818-907-0322    
Racquelle Ranan Tugade Thieling, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411
Phone: 818-900-6480    Fax: 818-900-6488
Laura Marie Cortez, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5651 Sepulveda Blvd Ste 201, Sherman Oaks, CA 91411
Phone: 818-788-2400    
Ardene J Cudiamat, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4955 Van Nuys Blvd, Suite 411, Sherman Oaks, CA 91403
Phone: 818-784-7903    Fax: 818-784-7026

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.