STACEY MURPHY – Family Nurse Practitioner, NPI 1053835769

STACEY MURPHY is a healthcare provider. based in Medford, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2277072 (MA). The NPI Number for STACEY MURPHY is 1053835769

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
STACEY MURPHY
NPI
1053835769
Phone
Not provided
Address
91 SUMMIT RD
Enumeration Date
3 August 2017
Last Update Date
6 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9784540706
Graduation Year
2017 (9 years ago)
PAC ID
6709142524
Group Practice PAC ID
4880506484
Professional Enrollment ID
I20171113000314
Address ID
MA018632460NO14XXXPLXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for STACEY MURPHY

  • 91, Summit Road, Medford, Middlesex County, Massachusetts, 02155, United States

    MEDFORD, MA 021553019

    Phone:

    Type: Mailing

  • CVS, 24, West Main Street, Northborough, Worcester County, Massachusetts, 01532, United States

    NORTHBOROUGH, MA 015321910

    Phone: (508) 393-6027

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $338.

Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Miach Orthopaedics, Inc. ($150).

Total Amount

$338

General + Research + Ownership

Payments

4

Total payment records

General Amount

$338

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

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: 2017-11-13

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
I20171113000314INurse PractitionerMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02155)

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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: 4880506484View full group profile
NameSpecialtyState
Orthopedic SurgeryMA
Physical Therapist In Private PracticeMA
Orthopedic SurgeryMA
Orthopedic SurgeryMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Orthopedic SurgeryOH
Orthopedic SurgeryMA
Diagnostic RadiologyMA
Physical Medicine And RehabilitationMA

Reviews

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Frequently asked questions

What number should I use to identify STACEY MURPHY for billing?
Administrative and clinical systems typically use NPI 1053835769 for STACEY MURPHY.
Quick check: is STACEY MURPHY active?
Public NPPES data shows STACEY MURPHY with an active NPI status right now.
What type of care does STACEY MURPHY provide?
STACEY MURPHY's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to STACEY MURPHY?
STACEY MURPHY shows a connection to Medford, Massachusetts in registry-derived data.
Who maintains STACEY MURPHY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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