Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Stacy Tennille Wong, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1063908317

Miss. Stacy Tennille Wong, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Stanford, California. Qualified in 2018, 8 years ago. Works from 3 locations. Licensed in California and New York.

Years since qualifying
8
Licensed in
CA, NY
In the registry since
2018
Specialties on file
4
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 521 Parnassus Ave, San Francisco, CA 94143-2206 — (415) 514-3785
  • 1275 York Ave, New York, NY 10065-6007 — (626) 272-6042

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CRNA95002044 (CA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 95002044 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 762032 (CA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 730127-1 (NY)

Record details

NPI number1063908317
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 10, 2018
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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