Stacie Anderson, AGNP
NPI 1407695182 · Gerontology Nurse Practitioner · Sonoma, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacie Anderson, AGNP is a Gerontology Nurse Practitioner provider in Sonoma, CA (NPI 1407695182).
Provider details
- NPI number
- 1407695182
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- No
- License
- 95029378 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-05-22
- Last updated
- 2024-05-22
- Certified
- 2024-05-22
Frequently asked questions
- What is Stacie Anderson's NPI number?
- Stacie Anderson's National Provider Identifier (NPI) is 1407695182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacie Anderson's specialty?
- Stacie Anderson is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stacie Anderson located?
- Stacie Anderson's practice location on file with NPPES is 19270 Sonoma Highway, Sonoma, CA 95476.
- What is Stacie Anderson's phone number?
- The practice phone number listed in the NPPES registry for Stacie Anderson is (707) 939-6070.
- Does Stacie Anderson accept Medicare?
- Stacie Anderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacie Anderson's NPI active?
- Yes — Stacie Anderson's NPI (1407695182) is active in the NPPES registry as of the last update on 2024-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.