Amy Stacy, MS, RD, CDN
NPI 1053539023 · Registered Dietitian · Brockport, NY
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amy Stacy, MS, RD, CDN is a Registered Dietitian provider in Brockport, NY (NPI 1053539023).
Provider details
- NPI number
- 1053539023
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, CDN
- Sex
- Female
- Sole proprietor
- No
- License
- 000777-1 (NY)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2007-07-08
Frequently asked questions
- What is Amy Stacy's NPI number?
- Amy Stacy's National Provider Identifier (NPI) is 1053539023, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amy Stacy's specialty?
- Amy Stacy is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Amy Stacy located?
- Amy Stacy's practice location on file with NPPES is 156 West Ave, Brockport, NY 14420-1229.
- What is Amy Stacy's phone number?
- The practice phone number listed in the NPPES registry for Amy Stacy is (585) 395-6095.
- Does Amy Stacy accept Medicare?
- Amy Stacy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amy Stacy's NPI active?
- Yes — Amy Stacy's NPI (1053539023) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.