Individual provider Active NPI

Patricia Kay Stafford, CRNP

  • Nurse Practitioner
  • Walkersville, MD
National Provider Identifier
1124450176
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R122920 Issued in MD
Practice address
215 Heritage CT
Walkersville, MD 21793-9159
Phone
(301) 845-0064
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R122920 MD Primary

Addresses

Primary practice location

215 Heritage CT
Walkersville, MD 21793-9159

Mailing address

339 Pine Grove Rd
Lonaconing, MD 21539-2143
Phone (301) 471-6462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20140422000153 MD Practitioner - Nurse Practitioner 5698907897 Reassigns benefits to 3 organizations
I20151022001542 DC Practitioner - Nurse Practitioner 5698907897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitioncare LLCGroup PAC ID 8527213396, 7 clinicians
Goodwill Mennonite Home, Inc.Group PAC ID 1759376866, 6 clinicians

Practice addresses (Care Compare)

10301 Christie Rd NE
Cumberland, MD 21502-8326
Phone (301) 724-1400

891 Dorsey Hotel Rd
Grantsville, MD 21536-1369
Phone 3018955194201

Hospital & facility affiliations

  • Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.2
Improvement activities
40
Cost
73.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R122920MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goodwill Mennonite Home, Inc. CurrentSince Sep 25, 2018 Accepting new patients
Transitioncare LLC CurrentSince Jan 1, 2016 Accepting new patients
Five Star Physician Services, LLC CurrentSince Feb 1, 2014 Accepting new patients
Transitioncare LLC CurrentSince Jan 1, 2016 Accepting new patients
Sage Hollow Health PC PastSince Sep 30, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8700 Jones Mill Rd
Chevy Chase, MD 20815
Phone (301) 350-5555

10301 Christie Rd NE
Cumberland, MD 21502
Phone (301) 724-1400

891 Dorsey Hotel Rd
Grantsville, MD 21536
Phone (301) 895-5194

785 Elkridge Landing Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 323-3014

Organizations & group practices 6

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 4

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": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1124450176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 PINE GROVE RD",
            "city": "LONACONING",
            "state": "MD",
            "postal_code": "215392143",
            "telephone_number": "301-471-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HERITAGE CT",
            "city": "WALKERSVILLE",
            "state": "MD",
            "postal_code": "217939159",
            "telephone_number": "301-845-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "PATRICIA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R122920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walkersville, MD

Sources for this page

Verify at the official NPI Registry.