STACY ALI – Family Nurse Practitioner, NPI 1255415451
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,370 NURSE PRACTITIONER in NM
Provider Addresses for STACY ALI
PO BOX 740018
ATLANTA, GA 303740018
Phone: (505) 777-3002
Fax: (505) 521-5189
Type: Mailing
5555 ZUNI RD SE STE 11
ALBUQUERQUE, NM 871082935
Phone: (505) 777-3002
Type: Location
10800 Dennis Chavez Blvd SW
Albuquerque, NM 871215498
Phone: (505) 272-6009
Type: Location
CORNER OR NORTH 7 AND NORTH 12
FORT DEFIANCE, AZ 86504
Phone: (928) 729-8000
Type: Location
Fort Defiance Post Office, 400, Old Red Lake Road, Bonita Trading Post, Fort Defiance, Apache County, Arizona, 86504, United States
FORT DEFIANCE, AZ 865041077
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-01-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240116003540 | I | Nurse Practitioner | NM | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NM | |
| Physician Assistant | NM | |
| Family Practice | NM | |
| Osteopathic Manipulative Medicine | NM | |
| Family Practice | MA | |
| Nurse Practitioner | NM | |
| Internal Medicine | GA | |
| Physician Assistant | FL | |
| Family Practice | NM | |
| Nurse Practitioner | TX |
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