MICHELLE TRAVERS STACEY (M.D.) – Neuromuscular Medicine (Psychiatry & Neurology) Physician, NPI 1861758799

MICHELLE TRAVERS STACEY (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. MD177538 (OR). The NPI Number for MICHELLE TRAVERS STACEY (M.D.) is 1861758799

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE TRAVERS STACEY (M.D.)
NPI
1861758799
Phone
(503) 494-7772
Address
3181 SW Sam Jackson Park Rd
Enumeration Date
4 April 2012
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
8008132000
Graduation Year
2012 (14 years ago)
PAC ID
6709031586
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20160706002436
Address ID
OR971245806HI2875XAVEX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness95
Years active:14State licenses:2Other names

401 NEUROLOGY in OR

Provider Addresses for MICHELLE TRAVERS STACEY (M.D.)

  • 3181 SW Sam Jackson Park Rd

    Portland, OR 972393011

    Phone: (503) 494-7772

    Fax: (503) 494-7242

    Type: Location

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-7772

    Fax: (503) 494-7242

    Type: Mailing

  • 500 NE MULTNOMAH ST STE 100

    PORTLAND, OR 972322031

    Phone: (800) 813-2000

    Fax: (855) 524-5255

    Type: Mailing

  • 10180 SE SUNNYSIDE RD

    CLACKAMAS, OR 970158970

    Phone: (800) 813-2000

    Type: Location

  • 111 COLCHESTER AVE

    BURLINGTON, VT 054011473

    Phone: (802) 847-0000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2020-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160706002436INeurologyORTBD
I20200812002075INeurologyWATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8334$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2826$0
99238Hospital discharge day management, 30 minutes or less1111$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

Loading plans...

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: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA
-OR

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to MICHELLE TRAVERS STACEY (M.D.)?
The federal identifier for MICHELLE TRAVERS STACEY (M.D.) is NPI 1861758799.
Is MICHELLE TRAVERS STACEY (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MICHELLE TRAVERS STACEY (M.D.)?
The page reflects Neuromuscular Medicine (Psychiatry & Neurology) Physician for MICHELLE TRAVERS STACEY (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for MICHELLE TRAVERS STACEY (M.D.)?
We surface Portland, Oregon for MICHELLE TRAVERS STACEY (M.D.) based on available NPPES addresses.
What if Portland, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

DAVID B WILKINSON (M.D.)

Neuromuscular Medicine (Psychiatry & Neurology) Physician
9155 SW BARNES RD STE 836
NPI: 1609841659

ERIK RICHARD ENSRUD (MD)

Neurology Physician
3181 SW SAM JACKSON PARK RD # OP31
NPI: 1982658738

DR. HERBERT A KROB (MD)

Neurology Physician
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
NPI: 1780615625

VIVEK KRISHNA (M.D.)

Neurology Physician
200 Patewood Dr Ste B350
NPI: 1295920320

DR. CHAFIC KARAM (M.D.)

Neurology Physician
South Bond Avenue, South Portland, Portland, Metro, Multnomah County, Oregon, 97258, United States
NPI: 1326200163

ERICA RENE WILT (M.D.)

Neurology Physician
624 Quaker Ln Ste D201
NPI: 1003253857

TRACY BAZAN (MD)

Neuromuscular Medicine (Psychiatry & Neurology) Physician
3181 SW Sam Jackson Park Rd
NPI: 1487073789