Stacy Petersen
NPI 1063055150 · Electroneurodiagnostic Specialist/Technologist · Las Vegas, NV
Stacy Petersen is a Electroneurodiagnostic Specialist/Technologist provider in Las Vegas, NV (NPI 1063055150).
Provider details
- NPI number
- 1063055150
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2019-10-22
- Last updated
- 2019-10-22
Frequently asked questions
- What is Stacy Petersen's NPI number?
- Stacy Petersen's National Provider Identifier (NPI) is 1063055150, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Petersen's specialty?
- Stacy Petersen is listed in the NPPES registry with a primary specialty of Electroneurodiagnostic Specialist/Technologist (Technologists, Technicians & Other Technical Service Providers).
- Where is Stacy Petersen located?
- Stacy Petersen's practice location on file with NPPES is 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528.
- What is Stacy Petersen's phone number?
- The practice phone number listed in the NPPES registry for Stacy Petersen is (855) 864-4322.
- Is Stacy Petersen's NPI active?
- Yes — Stacy Petersen's NPI (1063055150) is active in the NPPES registry as of the last update on 2019-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.