DR. STACY MARIE NASSAU (M.D.) – Allergy & Immunology Physician, NPI 1639559107

DR. STACY MARIE NASSAU (M.D.) is a healthcare provider. based in Miami beach, Florida. specializing in ALLERGY/IMMUNOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME146805 (FL). The NPI Number for DR. STACY MARIE NASSAU (M.D.) is 1639559107

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACY MARIE NASSAU (M.D.)
NPI
1639559107
Phone
(305) 538-8339
Address
400 Arthur Godfrey Rd Ste 504
Enumeration Date
31 May 2015
Last Update Date
27 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052554868
Graduation Year
2015 (11 years ago)
PAC ID
2062823578
Group Practice PAC ID
2365340908
Professional Enrollment ID
I20201203002925
Address ID
FL331767900PA14411223X501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

274 ALLERGY/IMMUNOLOGY in FL

Provider Addresses for DR. STACY MARIE NASSAU (M.D.)

  • 400 Arthur Godfrey Rd Ste 504

    Miami Beach, FL 331403500

    Phone: (305) 538-8339

    Fax: (305) 538-4907

    Type: Location

  • 9035 Sunset Dr Ste 202

    Miami, FL 331733451

    Phone: (305) 279-3366

    Fax: (305) 271-3355

    Type: Location

  • 2699 STIRLING RD STE B100

    FT LAUDERDALE, FL 333126543

    Phone: (305) 223-8808

    Fax: (954) 962-9657

    Type: Mailing

  • 14411 S DIXIE HWY STE 223

    PALMETTO BAY, FL 331767900

    Phone: (305) 255-4868

    Fax: (305) 255-4922

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 199 Open Payments records for all available years, with a total value of $6,909.

Total Amount is formed as General ($6,909) + Research ($0) + Ownership ($0) = $6,909.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: GENZYME CORPORATION ($1,961).

Total Amount

$6,909

General + Research + Ownership

Payments

199

Total payment records

General Amount

$6,909

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201203002925IAllergy/ImmunologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract1,55121$0
95165Professional service for preparation and provision of 1 or more antigens79820$0
95024Test for allergy using allergenic extract injected into skin38013$0
95117Professional service for multiple injections of allergen19943$0
99214Established patient office or other outpatient visit, 30-39 minutes7142$0
View full utilization report →

Insurance plans in this area (ZIP 33140)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365340908View full group profile
NameSpecialtyState
Nurse PractitionerFL
A L L E R G Y/ I M M U N O L O G YFL
Allergy/Immunology, Internal MedicineFL
Allergy/Immunology, Internal MedicineFL
Physician AssistantFL
Allergy/Immunology, Pediatric MedicineNJ
Nurse PractitionerFL
-FL
Allergy/Immunology, Pediatric MedicineFL
Allergy/Immunology, Pediatric MedicineFL

Reviews

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Frequently asked questions

What number should I use to identify DR. STACY MARIE NASSAU (M.D.) for billing?
Administrative and clinical systems typically use NPI 1639559107 for DR. STACY MARIE NASSAU (M.D.).
Is DR. STACY MARIE NASSAU (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. STACY MARIE NASSAU (M.D.) as active.
What type of care does DR. STACY MARIE NASSAU (M.D.) provide?
DR. STACY MARIE NASSAU (M.D.)'s profile centers on Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. STACY MARIE NASSAU (M.D.)?
DR. STACY MARIE NASSAU (M.D.) shows a connection to Miami Beach, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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