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

Timothy James Stacy, ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1457356479

Timothy James Stacy, ACNP is a Nurse Practitioner in Sherman Oaks, California. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2005
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

See every abbreviation used in this directory →

Practice location Address checks out

4955 Van Nuys Blvd Ste 502
Sherman Oaks, CA 91403-1801
Phone: (818) 325-0200
Fax: (818) 325-0210
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 15005 (CA)

Record details

NPI number1457356479
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP
Sole proprietorNo
NPI enumeratedJune 16, 2005
Last updated in NPPESFebruary 23, 2010

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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