Stacy Heitz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4203-23 Issued in WI

Practice address

1969 W Hart Rd
Beloit, WI 53511-2230

Phone

(608) 364-5011

NPI assigned

Sep 19, 2017

Last updated

Jun 28, 2022By the provider in NPPES

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in WI, IL2 enrollments

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 2

Specialty

Physician Assistant

Education

Southern Illinois University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edgerton Hospital and Health Services, IncGroup PAC ID 7719874502, 40 clinicians

Southern Wisconsin Emergency Associates SCGroup PAC ID 3274561055, 47 clinicians

Stoughton Hospital AssociationGroup PAC ID 7012825706, 66 clinicians

Swea Fort SCGroup PAC ID 0345774972, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fort Memorial Hospital Hospital, Fort Atkinson, WI, CCN 520071
• Stoughton Hospital Hospital, Stoughton, WI, CCN 521343

Merit-based Incentive Payment System (MIPS)

Final score

85.73 of 100Reported as group

Quality

87.42

Promoting interoperability

100

Improvement activities

40

Cost

65.02

Merit-based Incentive Payment System (MIPS)

Final score

69.34 of 100Reported as group

Quality

87.81

Promoting interoperability

100

Improvement activities

40

Cost

10

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smiller377215@direct-ehr-ssmhc.com

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.

• Edgerton Hospital and Health Services Inc.

  • Critical Access Hospital
  • Edgerton, WI
  • NPI 1154350049
  Medicare reassignment Care Compare group NPD
• Southern Wisconsin Emergency Associates SC

  • Emergency Medicine Physician
  • Beloit, WI
  • NPI 1568538189

  IL

  Medicare reassignment Care Compare group
• Stoughton Hospital Association

  • Critical Access Hospital
  • Stoughton, WI
  • NPI 1679558647
  Medicare reassignment Care Compare group
• Swea Fort SC

  • Emergency Medicine Physician
  • Fort Atkinson, WI
  • NPI 1295552065
  Medicare reassignment Care Compare group
• Edgerton Hospital and Health Services

  • Urgent Care Clinic/Center
  • Edgerton, WI
  • NPI 1538845805
  NPD
• Stoughton Hospital Association

  dba Cottage Grove Urgent Care

  • Urgent Care Clinic/Center
  • Cottage Grove, WI
  • NPI 1811733066
  NPD
• Stoughton Hospital Association

  dba McFarland Urgent Care

  • Urgent Care Clinic/Center
  • McFarland, WI
  • NPI 1477146082
  NPD (past)

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

• Fort Healthcare Inc

  • Otolaryngology Physician
  • Fort Atkinson, WI
  • NPI 1417993361

  Hospital

  Care Compare affiliation
• Fort Healthcare, Inc.

  • General Acute Care Hospital
  • Fort Atkinson, WI
  • NPI 1811916281
  Care Compare affiliation
• Stoughton Hospital Association

  dba McFarland Urgent Care

  • Urgent Care Clinic/Center
  • McFarland, WI
  • NPI 1477146082

  Hospital

  Care Compare affiliation
• Stoughton Hospital Association

  • Critical Access Hospital
  • Stoughton, WI
  • NPI 1679558647
  Care Compare affiliation
• Stoughton Hospital Association

  dba Cottage Grove Urgent Care

  • Urgent Care Clinic/Center
  • Cottage Grove, WI
  • NPI 1811733066

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1073032264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969 W HART RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 W HART RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112230",
            "telephone_number": "608-364-5011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3085 Meadowlark Ln Ste 20",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "WI",
            "postal_code": "547202656",
            "country_code": "US",
            "telephone_number": "920-496-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2509 County Highway I",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547292785",
            "country_code": "US",
            "telephone_number": "715-723-9138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5605 E Rockton Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Roscoe",
            "state": "IL",
            "postal_code": "610737601",
            "country_code": "US",
            "telephone_number": "815-525-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEITZ",
        "first_name": "STACY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4203-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smiller377215@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "smiller377215@direct-ehr-ssmhc.com",
            "address_1": "1223 E Main St",
            "city": "Perry",
            "state": "MO",
            "country_code": "US",
            "postal_code": "634621410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api.FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1223 E Main St",
            "city": "Perry",
            "state": "MO",
            "country_code": "US",
            "postal_code": "634621410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaylynn Marie Hayward, M.ED, LPC-IT
• Healthcare Medical Supply LLC
• Jessica Lynn Hefty, PMHNP-BC
• Beverly Ann Heinz
• Lynn N. Heitz, RN
• Nicole T. Hemkes, M.D.
• Sue A. Hennessy, OTR/L
• Mauly Her-Lo, OTR/L
• Scarletann Hessian
• Barbara J Higgins, MD

• Physician Assistant in Beloit, WI
• Providers in Beloit, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.