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Active NPI 1255838447 Individual Practitioner Female Practitioner

Stacey Ann Lazar , NP

Nurse Practitioner • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacey Lazar, NP is a certified Nurse Practitioner practicing in Providence, RI. With approximately 9 years of clinical experience since completing medical education in 2017, Stacey Lazar delivers high-quality medical care to the local community at 593 EDDY ST.

Stacey Lazar maintains professional affiliations with Rhode Island Hospital, Lifespan Physician Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St

Providence, RI 02903

Telephone 4014445520
Associated Practice Facility / Clinic
🏢 Rhode Island Hospital Facility NPI 1588659528

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Providence, RI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -1.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
176 Specialists

Practicing in Providence, RI (397 Statewide)

Telehealth Adoption Rate
15.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lazar (9 Years) 9 Yrs
Providence Specialty Average (10.4 Years) 10.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-01
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License RI APRN01812

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Rhode Island Hospital

593 Eddy St, Providence, RI 029034923

Phone: 4014443777

Lifespan Physician Group Inc

593 Eddy St, Providence, RI 029034923

Phone: 4017939132

Secondary Practice Locations

593 Eddy St

Providence, RI 029034923

Phone: 4014447585

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003012014

Doctor of Osteopathic Medicine (D.O.)

NPI 1003034877
Dr. Ga Hie Nam , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003264896

Doctor of Medicine (M.D.)

Eugenie Atallah

Psychiatry & Neurology - Neurology

NPI 1003392689
Dr. Brian Cao , MD

Student in an Organized Health Care Education/Training Program

NPI 1003496274

Doctor of Medicine (M.D.)

Bret Caulfield

Physician Assistant

NPI 1003512476

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address July 01, 2026

Registered at 15 LA SALLE SQ, PROVIDENCE, RI 029031814 (Tel: 4014446779)

📍
Updated Practice Location June 14, 2018

Registered at 593 EDDY ST, PROVIDENCE, RI 02903 (Tel: 4014445520)

📍
Updated Business Mailing Address June 14, 2018

Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054513 (Tel: 4014446779)

NPI Profile Active April 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2018

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014445520)

📍
Updated Business Mailing Address April 12, 2018

Registered at 15 KENYON RD, TIVERTON, RI 028781617 (Tel: 4015751558)

👤
Provider Name / Credentials Updated April 12, 2018

Recorded as STACEY LAZAR, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2018

Nurse Practitioner (License #APRN01812 in RI)

🟢
Initial NPI Registration & Enumeration April 12, 2018

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: 1255838447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2018
Last Update: July 01, 2026
Sole Proprietor: No

Mailing Address

15 La Salle Sq

Providence, RI 029031814

Phone: 4014446779

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.