Active NPI
Joanna Stacey, MD
- Obstetrics & Gynecology Physician
- Temple, TX
National Provider Identifier
1093781569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- N1904
- Practice address
- 2401 S 31St St
Temple, TX 76508-4404 - Phone
- (254) 724-2111
- Fax
- (254) 724-7603
- NPI assigned
- Feb 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | N1904 | TX | Primary |
Addresses
Primary practice location
2401 S 31St St
Temple, TX 76508-4404
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010079128 | Medicaid | VA | |
| 010079136 | Medicaid | VA | |
| 1093781569 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jstacey14332@direct.sw.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Texas Medical School at San Antonio, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
Hospital & facility affiliations
- Baylor Scott & White Medical Center - Temple
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Obstetrics & Gynecology | Current | Accepting new patients |
| Scott and White Clinic | Obstetrics & Gynecology | Current | Accepting new patients |
| Scott & White Clinic | Obstetrics & Gynecology | Current | Accepting new patients |
| Scott & White Hospital - Taylor | Past | Accepting new patients | |
| Scott & White Memorial Hospital | Past | Accepting new patients |
Locations
101 E Jackson St
Burnet, TX 78611
Phone (512) 756-7510
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
1901 SW H K Dodgen Loop
Bldg 300
Temple, TX 76502
Phone (254) 935-4888
Interoperability endpoints
- jstacey14332@direct.sw.org
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Brenham, TX
- NPI 1154315307
-
- Internal Medicine Physician
- Brenham, TX
- NPI 1295464949
-
- Radiation Oncology Physician
- Waxahachie, TX
- NPI 1821475153
Obstetrics & Gynecology
-
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
-
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
-
- General Acute Care Hospital
- Temple, TX
- NPI 1578502613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1093781569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S 31ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765084404",
"telephone_number": "254-724-2111",
"fax_number": "254-724-7603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACEY",
"first_name": "JOANNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "N1904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010079128",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010079136",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093781569",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jstacey14332@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 S 31st St",
"city": "Temple",
"state": "TX",
"country_code": "US",
"postal_code": "765084404",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.