Stacy Emile

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME128634 Issued in FL

Practice address

1800 E Park Ave
State College, PA 16803-6701

Phone

(814) 278-4818

NPI assigned

Jan 20, 2012

Last updated

Jun 15, 2021By 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 1

Medicare fee-for-service enrollment

Enrolled in PA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Hospital Medicine Services, LLCGroup PAC ID 7810129640, 263 clinicians

Accountable Care Hospitalist GroupGroup PAC ID 3678733342, 119 clinicians

Hospital Physician Services of Florida PAGroup PAC ID 7012201965, 212 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Group Inc Home health agency, Boca Raton, FL, CCN 109710
• St Mary's Medical Center Hospital, West Palm Beach, FL, CCN 100288
• HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: upmchospitals@upmcdirect.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.

• Florida Hospital Medicine Services, LLC.

  dba Florida Acute Care Specialists (FLACS)

  • Hospitalist Physician
  • Boca Raton, FL
  • NPI 1508873183
  Medicare reassignment Care Compare group NPD
• Hospital Physician Services of Florida PA

  • Hospitalist Physician
  • Pensacola, FL
  • NPI 1558718635

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Accountable Care Hospitalist Group

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1659640282
  Medicare reassignment Care Compare group
• Upmc Altoona

  dba Altoona Emergency Physicians

  • General Acute Care Hospital
  • Altoona, PA
  • NPI 1497831655
  Medicare reassignment NPD
• Accountable Teaching Services LLC

  • Health Educator
  • Wellington, FL
  • NPI 1861929309

  Hospitalist

  Medicare reassignment NPD
• First Docs PC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1417655465

  FL, Hospitalist

  Medicare reassignment NPD
• Upmc Altoona

  • Ambulatory Surgical Clinic/Center
  • Altoona, PA
  • NPI 1114926953
  NPD

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

• Elite Home Health Group LLC

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1578954335
  Care Compare affiliation
• JFK Medical Center Limited Partnership

  dba HCA Florida JFK Hospital

  • General Acute Care Hospital
  • Atlantis, FL
  • NPI 1326085424
  Care Compare affiliation
• St. Mary's Medical Center, Inc

  dba St. Mary's Medical Center

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1952333205
  Care Compare affiliation

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1083985121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 FAIRLANE FARMS RD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036701",
            "telephone_number": "814-278-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMILE",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2021-06-15",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME128634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Anne Ellis, MS, OTR/L
• Ryan Ellis
• Thomas J Ellis, D.O.
• Eric L Emanski, MD
• Embassy Hearthside, LLC (Embassy of Hearthside)
• Energy Rehab Wellness and Training
• David Robert Englehart, D.M.D.
• Stephen L Engroff, MD DDS
• Ennis Straight Chiropractic Center
• Bradley D Ennis, DC

• Family Medicine Physician in State College, PA
• Providers in State College, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.