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

Mrs. Stacey Leigh Coon-Walsh, CRNP

Individual provider Nurse Practitioner · NPI 1376949941

Mrs. Stacey Leigh Coon-Walsh, CRNP is a Nurse Practitioner in Johnson City, New York. Qualified in 2014, 12 years ago. Practices with United Medical Associates PC, a 232-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
12
Licensed in
NY, PA
In the registry since
2014
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

30 Harrison St Ste 400
Johnson City, NY 13790-2176
Phone: (607) 763-8008
Fax: (607) 763-8019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 310143 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence SP014441 (PA)

Record details

NPI number1376949941
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 10, 2014
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice United Medical Associates Pc — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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