Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558686162 Individual Practitioner Female Practitioner

Dr. Stacy Robin Green , MD

General Practice • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Dr. Stacy Green, MD is a registered healthcare professional specializing in General Practice in Boulder, CO. Practice services are available at 825 S BROADWAY ST STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

825 S Broadway St Ste 100

Boulder, CO 803055932

Telephone 3037172521
Associated Practice Facility / Clinic
🏢 Stacy Green Enterprises, Llc Facility NPI 1871262253

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
11 Specialists

Practicing in Boulder, CO (331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-22
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CO DR.0050364

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Psychiatry & Neurology - Psychosomatic Medicine

NUCC Taxonomy Code: 2084P0015X

State License CO DR.0050364

Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2025

Psychiatry & Neurology (License #DR.0050364 in CO)

📍
Updated Practice Location October 11, 2025

Registered at 825 S BROADWAY ST STE 100, BOULDER, CO 803055932 (Tel: 3037172521)

📍
Updated Business Mailing Address October 11, 2025

Registered at 825 S BROADWAY ST STE 100, BOULDER, CO 803055932 (Tel: 3037172521)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2025

Counselor

📍
Updated Practice Location January 27, 2021

Registered at 3985 WONDERLAND HILL AVE STE 107, BOULDER, CO 803041038 (Tel: 3037172521)

📍
Updated Business Mailing Address January 27, 2021

Registered at 3985 WONDERLAND HILL AVE STE 107, BOULDER, CO 803041038 (Tel: 3037172521)

📍
Updated Practice Location April 01, 2020

Registered at 3985 WONDERLAND HILL AVE STE 103, BOULDER, CO 803041038 (Tel: 3037172521)

📍
Updated Business Mailing Address April 01, 2020

Registered at 3985 WONDERLAND HILL AVE STE 103, BOULDER, CO 803041038 (Tel: 3037172521)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2020

Counselor

👤
Provider Name / Credentials Updated October 26, 2018

Recorded as STACY GREEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2018

General Practice (License #50364 in CO)

NPI Profile Active November 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2016

Registered at 100 ARAPAHOE AVE, SUITE 12, BOULDER, CO 803025854 (Tel: 3037172521)

📍
Updated Business Mailing Address November 29, 2016

Registered at P.O. BOX 3636, BOULDER, CO 803073636 (Tel: 3037172521)

👤
Provider Name / Credentials Updated November 29, 2016

Recorded as STACY LIVINGWELL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2016

Family Medicine (License #50364 in CO)

🟢
Initial NPI Registration & Enumeration April 07, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558686162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2010
Last Update: October 22, 2025
Sole Proprietor: Yes

Mailing Address

825 S Broadway St Ste 100

Boulder, CO 803055932

Phone: 3037172521

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.