Misti D. Staggers, CNP

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

NP07950 Issued in OH

Practice address

120 McMillen Dr
Newark, OH 43055-1809

Phone

(740) 348-7935

Fax

(740) 348-7936

NPI assigned

Oct 16, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mstaggers@masai-oh.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• FHIR API: https://epicproxy.et1168.epichosted.com/FHIRProxy/LMHPRD/api/FHIR/R4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical and Surgical Associates Inc

  • Family Medicine Physician
  • Newark, OH
  • NPI 1881787307
  Medicare reassignment NPD
• Licking Memorial Professional Corp.

  • Pediatrics Physician
  • Utica, OH
  • NPI 1497771521
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1003005034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MCMILLEN DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551809",
            "telephone_number": "740-348-7935",
            "fax_number": "740-348-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MCMILLEN DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551809",
            "telephone_number": "740-348-7935",
            "fax_number": "740-348-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGGERS",
        "first_name": "MISTI",
        "middle_name": "D.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "OH",
            "license": "NP07950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Spencer
• Sandra Spencer, PT
• Kailee Rene Spivey
• Marlene Kay Spring
• Melissa Ssebabi, LPN
• Valencia Stair
• William Alvin Stallworth, M.D.
• Daniel Patrick Stambaugh, DC, CCSP
• McKenna J Stanley
• Vanessa K. Stapert, LISW

• Gerontology Clinical Nurse Specialist in Newark, OH
• Providers in Newark, OH by specialty
• Gerontology Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.