Stacey Lynn Nelson, CRNA in Flagstaff, AZ - Medicare Certified Registered Nurse Anesthetist (crna)

Stacey Lynn Nelson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Flagstaff, Arizona. He graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Desert Peak Anesthesia, Llc, Northern Arizona Healthcare Corporation, Utah Gastroenterology Llc and his current practice location is 1200 N Beaver St, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 779-3366.

Stacey Lynn Nelson is licensed to practice in Arizona (license number 078032) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912187329.

Contact Information

	Stacey Lynn Nelson, CRNA
	1200 N Beaver St, Flagstaff, AZ 86001-3118
	(928) 779-3366
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey Lynn Nelson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	1200 N Beaver St, Flagstaff, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacey Lynn Nelson graduated from nursing school in 2007

NPI Data:

NPI Number: 1912187329
Provider Enumeration Date: 11/14/2007
Last Update Date: 06/19/2025

Medicare PECOS Information:

PECOS PAC ID: 8022198050
Enrollment ID: I20200429002354

Medical Identifiers

Medical identifiers for Stacey Lynn Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912187329	NPI	-	NPPES
295431	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	078032 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mountain West Medical Center	Tooele, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Desert Peak Anesthesia, Llc	6002884996	8
Northern Arizona Healthcare Corporation	3577473362	395
Utah Gastroenterology Llc	9830174150	74

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacey Lynn Nelson allows following entities to bill medicare on his behalf.

Entity Name	Utah Gastroenterology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871689562 PECOS PAC ID: 9830174150 Enrollment ID: O20040621001991

Entity Name	Desert Peak Anesthesia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518972280 PECOS PAC ID: 6002884996 Enrollment ID: O20040920000002

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Lynn Nelson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stacey Lynn Nelson, CRNA 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 Ph: (928) 773-2505	Stacey Lynn Nelson, CRNA 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 779-3366

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Flagstaff, AZ

Elizabeth Gilmore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366
Juliana D Eichenberg, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2113
Jack Gilbert Weiss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504
Benjamin Henrie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366
Whitley Harbison Kloeblen, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366
Linda Allsop, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504
James Dean Bohn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504

Stacey Lynn Nelson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Flagstaff, AZ