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

Stacy Jean Neiswonger, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1033382809

Stacy Jean Neiswonger, ANP is a Nurse Practitioner in Lewiston, New York. Qualified in 2007, 19 years ago. Practices with General Physician PC, a 487-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2008

Practice location Address checks out

5300 Military Rd
Lewiston, NY 14092-1903
Phone: (716) 298-3782
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 304743 (NY)

Record details

NPI number1033382809
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedApril 11, 2008
Last updated in NPPESNovember 3, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice General Physician Pc — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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