Stacey Carroll, MD
NPI 1396207049 · Family Medicine Physician · Gualala, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacey Carroll, MD is a Family Medicine Physician provider in Gualala, CA (NPI 1396207049).
Provider details
- NPI number
- 1396207049
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- A199217 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- 2019-04-02
- Last updated
- 2025-03-01
- Certified
- 2025-03-01
Frequently asked questions
- What is Stacey Carroll's NPI number?
- Stacey Carroll's National Provider Identifier (NPI) is 1396207049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Carroll's specialty?
- Stacey Carroll is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Stacey Carroll located?
- Stacey Carroll's practice location on file with NPPES is 46900 Ocean View Dr, Gualala, CA 95445-8458.
- What is Stacey Carroll's phone number?
- The practice phone number listed in the NPPES registry for Stacey Carroll is (707) 884-4005.
- Does Stacey Carroll accept Medicare?
- Stacey Carroll is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacey Carroll's NPI active?
- Yes — Stacey Carroll's NPI (1396207049) is active in the NPPES registry as of the last update on 2025-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.