Individual provider Active NPI

Rebecca Woodard Staskelunas, PA-C

  • Physician Assistant
  • Greenville, NC
National Provider Identifier
1063609931
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01016 Issued in NC
Practice address
2101 W Arlington Blvd Ste 210
Eastern Radiologist, Inc.
Greenville, NC 27834-5758
Phone
(252) 752-5000
NPI assigned
Sep 25, 2007
Last updated
Jun 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-01016 NC Primary

Addresses

Primary practice location

2101 W Arlington Blvd Ste 210
Eastern Radiologist, Inc.
Greenville, NC 27834-5758

Mailing address

3316 Rounding Bend Dr
Winterville, NC 28590-6100
Phone (252) 721-4794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150817000006 NC Practitioner - Physician Assistant 1759696057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Brody School of Medicine at East Carolina University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Radiologists IncGroup PAC ID 2466355383, 92 clinicians

Practice addresses (Care Compare)

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 752-5000

630 E 11TH St
Washington, NC 27889-3700
Phone (252) 946-2137

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.56 of 100Reported as group
Quality
30.99
Improvement activities
40
Cost
75.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Radiologists Inc CurrentSince Jun 15, 2015 Accepting new patients

Locations

2101 W Arlington Blvd
#210
Greenville, NC 27834

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

2101 W Arlington Blvd
Ste 210
Greenville, NC 27834
Phone (252) 931-7638

630 E 11th St
Washington, NC 27889
Phone (252) 946-2137

Organizations & group practices 1

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

Hospital & facility affiliations 2

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1063609931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 ROUNDING BEND DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285906100",
            "telephone_number": "252-721-4794",
            "fax_number": "252-752-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W ARLINGTON BLVD STE 210",
            "address_2": "EASTERN RADIOLOGIST, INC.",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345758",
            "telephone_number": "252-752-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASKELUNAS",
        "first_name": "REBECCA",
        "middle_name": "WOODARD",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.