DR. STACY LYNN ERNDT (D.O.) – Emergency Medicine Physician, NPI 1063733079

DR. STACY LYNN ERNDT (D.O.) is a healthcare provider. based in Lansing, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101018587 (MI). The NPI Number for DR. STACY LYNN ERNDT (D.O.) is 1063733079

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACY LYNN ERNDT (D.O.)
NPI
1063733079
Phone
Not provided
Address
1215 E MICHIGAN AVE
Enumeration Date
14 June 2010
Last Update Date
28 September 2011

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3527173800
Graduation Year
2010 (16 years ago)
PAC ID
2668698218
Group Practice PAC ID
0143113878
Professional Enrollment ID
I20140717000894
Address ID
FL347111921CL1909X50XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,166 EMERGENCY MEDICINE in MI

Provider Addresses for DR. STACY LYNN ERNDT (D.O.)

  • 1215 E MICHIGAN AVE

    LANSING, MI 489121811

    Phone:

    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 5 Open Payments records for all available years, with a total value of $538.

Total Amount is formed as General ($538) + Research ($0) + Ownership ($0) = $538.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: ABBVIE INC. ($211).

Total Amount

$538

General + Research + Ownership

Payments

5

Total payment records

General Amount

$538

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

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: 2014-07-17

PECOS data refreshed: 2026-06-15

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
I20140717000894IEmergency MedicineFLTBD

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
99285Emergency department visit with high level of medical decision making292282$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only161151$0
99291Critical care, first 30-74 minutes9391$0
99284Emergency department visit with moderate level of medical decision making3330$0
View full utilization report →

Insurance plans in this area (ZIP 48912)

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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: 0143113878View full group profile
NameSpecialtyState
Emergency MedicineTX
-FL
-FL
-FL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for DR. STACY LYNN ERNDT (D.O.) in U.S. healthcare records?
The official identifier for DR. STACY LYNN ERNDT (D.O.) is NPI 1063733079.
Active or inactive — what applies to DR. STACY LYNN ERNDT (D.O.)?
You should see DR. STACY LYNN ERNDT (D.O.) as active in CMS-hosted NPPES data.
How would a patient describe DR. STACY LYNN ERNDT (D.O.)'s focus?
For DR. STACY LYNN ERNDT (D.O.), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. STACY LYNN ERNDT (D.O.)?
Directory geography for DR. STACY LYNN ERNDT (D.O.) centers on Lansing, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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