STACY TAVAREZ (CRNA) – Certified Registered Nurse Anesthetist, NPI 1083477525

STACY TAVAREZ (CRNA) is a healthcare provider. based in Mcallen, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 147518 (TX). The NPI Number for STACY TAVAREZ (CRNA) is 1083477525

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
STACY TAVAREZ (CRNA)
NPI
1083477525
Phone
(201) 478-3379
Address
3700 SAINT HONORE DR
Enumeration Date
6 February 2024
Last Update Date
6 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9566324000
Graduation Year
2023 (3 years ago)
PAC ID
9335587401
Group Practice PAC ID
7012045685
Professional Enrollment ID
I20240409002037
Address ID
TX785033045MC301XXEXPR308
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for STACY TAVAREZ (CRNA)

  • 3700 SAINT HONORE DR

    MCALLEN, TX 785040643

    Phone: (201) 478-3379

    Type: Mailing

  • 301 W EXPY 83

    MCALLEN, TX 785033045

    Phone: (956) 632-4000

    Type: Location

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: 2024-04-09

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
I20240409002037ICertified Registered Nurse Anesthetist (Crna)TXTBD

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 78504)

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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: 7012045685View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)NJ
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)NE
A N E S T H E S I O L O G YTX
-TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What is the registry number for STACY TAVAREZ (CRNA)?
The registry entry for STACY TAVAREZ (CRNA) shows NPI 1083477525.
Quick check: is STACY TAVAREZ (CRNA) active?
Public NPPES data shows STACY TAVAREZ (CRNA) with an active NPI status right now.
What does the directory say STACY TAVAREZ (CRNA) does?
Insurance directories may phrase it differently, but here STACY TAVAREZ (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STACY TAVAREZ (CRNA)?
STACY TAVAREZ (CRNA) is associated with Mcallen, Texas in the same public data insurers reference.
Who maintains STACY TAVAREZ (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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