STACEY BRYANT (NP) – Gerontology Nurse Practitioner, NPI 1376521369
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,972 NURSE PRACTITIONER in MA
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Provider Addresses for STACEY BRYANT (NP)
Lawrence Memorial Hospital, 170, Governors Avenue, Medford, Middlesex County, Massachusetts, 02155, United States
HALLMARK HEALTH SYSTEM, INC.
MEDFORD, MA 021551643
Phone: (781) 306-6000
Fax: (781) 306-6085
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $420.
Total Amount is formed as General ($420) + Research ($0) + Ownership ($0) = $420.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($206).
Total Amount
$420
General + Research + Ownership
Payments
10
Total payment records
General Amount
$420
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-11-24
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 |
|---|---|---|---|---|
| I20041124000058 | I | Nurse Practitioner | MA | 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 02155)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Geriatric Medicine, Internal Medicine | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Internal Medicine | MA |
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