Individual provider Active NPI

Stacey Hewitt, CRNP

  • Gerontology Nurse Practitioner
  • Reading, PA
National Provider Identifier
1053856005
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP016977 Issued in PA
Practice address
2144 Queens CT
Reading, PA 19606-9203
Phone
(610) 823-7780
NPI assigned
Dec 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP016977 PA Primary

Addresses

Primary practice location

2144 Queens CT
Reading, PA 19606-9203

Mailing address

2144 Queens CT
Reading, PA 19606-9203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170131001541 PA Practitioner - Nurse Practitioner 1658653407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Homecare LLCGroup PAC ID 3274437462, 7 clinicians

Practice addresses (Care Compare)

8118 Old York Rd
Suite D
Elkins Park, PA 19027-1423
Phone (215) 635-3151

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP016977PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sozen Integrative Health and Wellness LLC CurrentSince Jun 15, 2025 Accepting new patients
Primary Homecare, LLC Gerontology CurrentSince Jun 1, 2025 Accepting new patients

Locations

2480 Durham Rd
Bristol, PA 19007
Phone (215) 949-3200

2480 Durham Rd
#B
Bristol, PA 19007
Phone (215) 635-3151

8118 Old York Rd
Ste D
Elkins Park, PA 19027
Phone (215) 635-1800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25070/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stacey.hewitt.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: stacey.hewitt.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 2

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 1

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": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1053856005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 QUEENS CT",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 QUEENS CT",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069203",
            "telephone_number": "610-823-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "STACEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP016977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.