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

Stacey Peckham Lievense, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1558551986

Stacey Peckham Lievense, MD is an Obstetrics/Gynecology in Pawtucket, Rhode Island. Graduated from Perelman School of Med at the University of Pennsylvania in 2003, 23 years ago. Practices with Southern New England Healthcare for Women, LLC, a 26-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
23
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
RI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

333 School St Ste 200
Pawtucket, RI 02860-5334
Phone: (401) 724-0600
Fax: (401) 724-8306
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD12440 (RI)

Record details

NPI number1558551986
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2007
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2003 (23 years in practice)
Group practice Southern New England Healthcare For Women, Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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