Active NPI
Patricia Kay Stafford, CRNP
- Nurse Practitioner
- Walkersville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R122920
- 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
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 |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98.2
- Improvement activities
- 40
- Cost
- 73.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R122920 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodwill Mennonite Home, Inc. | Current | Accepting new patients | |
| Transitioncare LLC | Current | Accepting new patients | |
| Five Star Physician Services, LLC | Current | Accepting new patients | |
| Transitioncare LLC | Current | Accepting new patients | |
| Sage Hollow Health PC | Past | 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.
-
- Skilled Nursing Facility
- Grantsville, MD
- NPI 1720025489
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1689925000
-
- Internal Medicine Physician
- Linthicum Heights, MD
- NPI 1083654479
DC
-
- Internal Medicine Physician
- Silver Spring, MD
- NPI 1255182226
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Geriatric Medicine (Internal Medicine) Physician
- Shelton, CT
- NPI 1003700071
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
Hospital
-
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
-
- Hearing and Speech Clinic/Center
- Cumberland, MD
- NPI 1740969245
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.