MEDICARE: STACY ANN MACFARLANE APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	092194-23	NH
2	363LF0000X	Family Nurse Practitioner	CNP231390	ME
3	363LF0000X	Family Nurse Practitioner	LG-0012967	DE
4	363LF0000X	Family Nurse Practitioner	101.0134115	VT
5	363LF0000X	Family Nurse Practitioner	F343784-1	NY
6	363LF0000X	Family Nurse Practitioner	12417	CT
7	363LF0000X	Family Nurse Practitioner	34470	TN
8	363LF0000X	Family Nurse Practitioner	APRN10000872	MA
9	363LF0000X	Family Nurse Practitioner	APRN04048	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043583032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY ANN MACFARLANE APRN

Provider Business Mailing Address
First Line	:	10 MAPLEWOOD AVE
Second Line	:
City	:	BARRE
State	:	VT
Zip	:	05641-3014
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	885 3RD AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-4834
Country	:	US
Telephone Number	:	929-650-3990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2012
Last Update Date	:	02/09/2026

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