Individual provider Active NPI

Stacy Maxwell Beharry, PA-C

  • Physician Assistant
  • Englewood, CO
National Provider Identifier
1003104290
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0004352 Issued in CO
Practice address
799 E Hampden Ave
Sute 400
Englewood, CO 80113-2700
Phone
(303) 789-2663
Fax
(303) 788-4871
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6152 GA
Physician Assistant 363A00000X PA0004352 CO Primary

Addresses

Primary practice location

799 E Hampden Ave
Sute 400
Englewood, CO 80113-2700

Mailing address

799 E Hampden Ave
Suite 400
Englewood, CO 80113-2700
Phone (303) 789-2663

Other identifiers 1

IdentifierTypeStateIssuer
41473868MedicaidCO

Other names 1

  • Mrs. Stacy Lynn Maxwell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address STACY.BEHARRY@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20151014002589 CO Practitioner - Physician Assistant 3971767732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

2525 S Downing St
Denver, CO 80210-5817

2535 D S Downing St
Suite 460
Denver, CO 80210-5817
Phone (303) 744-1065

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

2535 S Downing St
100 Cojr Colo Joint Replmt
Denver, CO 80210-5848
Phone (720) 524-1367

5351 S Roslyn St
Greenwood Village, CO 80111-2132

7700 S Broadway
Littleton, CO 80122-2602
Phone (303) 730-8900

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

9670 W Coal Mine Ave
200 WLNH Primary Care
Littleton, CO 80123-4004
Phone (303) 932-2121

9695 S Yosemite St
Lone Tree, CO 80124-2890

Hospital & facility affiliations

  • AdventHealth Porter Hospital, Denver, CO, CCN 060064
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0004352COMDPhysician Assistant
6152GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Jul 29, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Jul 29, 2024 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

2535 S Downing St
Ste 100
Denver, CO 80210
Phone (720) 524-1367

12596 W Bayaud Ave
Ste 100
Lakewood, CO 80228
Phone (303) 551-4156

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9670 W Coal Mine Ave
Ste 200
Littleton, CO 80123
Phone (303) 392-2121

9695 S Yosemite St
Ste 255C
Lone Tree, CO 80124
Phone (303) 715-7670

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

Interoperability endpoints

  • Direct secure messaging: stacy.beharry@hca3.eclinicaldirectplus.com
  • Direct secure messaging: sbeharry3576362@adventhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1003104290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 E HAMPDEN AVE",
            "address_2": "SUITE 400",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132700",
            "telephone_number": "303-789-2663",
            "fax_number": "303-788-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 E HAMPDEN AVE",
            "address_2": "SUTE 400",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132700",
            "telephone_number": "303-789-2663",
            "fax_number": "303-788-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHARRY",
        "first_name": "STACY",
        "middle_name": "MAXWELL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6152",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0004352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41473868",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "STACY.BEHARRY@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "799 E Hampden Ave",
            "address_2": "SUTE 400",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801132700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "MAXWELL",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.