Provider Demographics
NPI:1912086091
Name:STEARNS, CECILIA ANN (CNM/NP)
Entity Type:Individual
Prefix:MS
First Name:CECILIA
Middle Name:ANN
Last Name:STEARNS
Suffix:
Gender:F
Credentials:CNM/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 CHANDLER AVENUE
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-1649
Mailing Address - Country:US
Mailing Address - Phone:585-344-4700
Mailing Address - Fax:585-345-4191
Practice Address - Street 1:33 CHANDLER AVENUE
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1649
Practice Address - Country:US
Practice Address - Phone:585-344-4700
Practice Address - Fax:585-345-4191
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF420248-1363LW0102X
NYF420625-1363LW0102X
NYF000216-1367A00000X
NYF000608367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03-0441930OtherAETNA
NY03-0441930OtherNORTH AMERICA
NY00026070501OtherUNIVERA
NY03-0441930OtherCOMMERCIAL INSURANCE
NY106226CQOtherPREFERRED CARE
NY000560044004OtherBC BS WNY
NY10600590OtherFIDELIS
NY03-0441930OtherNOVA
NYP010332125OtherBLUE CHOICE
NY03-0441930OtherUNITED HEALTH CARE
NY01597873Medicaid
NY03-0441930OtherTRICARE
NY03-0441930OtherMAGNA
NY5009043OtherINDEPENDENT HEALTH ASSOC
NYP010332125OtherBC BS ROCHESTER
NY5009043OtherINDEPENDENT HEALTH ASSOC
NY03-0441930OtherTRICARE
NY03-0441930OtherNORTH AMERICA