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

Mrs. Stacy Lyn Commodore, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1639409824

Mrs. Stacy Lyn Commodore, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Morgantown, West Virginia. Qualified in 2009, 17 years ago. Practices with Regional Eye Associates Inc, a 15-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
17
Licensed in
WV
In the registry since
2010
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2000 Mon Health Medical Park Dr Ste 2001
Morgantown, WV 26505-1167
Phone: (304) 720-8816
Fax: (904) 494-6467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN62855 (WV)

Record details

NPI number1639409824
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 11, 2010
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Regional Eye Associates Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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