Active NPI
Patricia Stadler, FNP-C
- Family Nurse Practitioner
- Chubbuck, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53856
- Practice address
- 570 Redman St
Chubbuck, ID 83202-2671 - Phone
- (602) 703-4196
- NPI assigned
- Mar 10, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53856 | ID | Primary |
Addresses
Primary practice location
570 Redman St
Chubbuck, ID 83202-2671
Mailing address
570 Redman St
Chubbuck, ID 83202-2671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170426002519 | ID | Practitioner - Nurse Practitioner | 0446537526 | Reassigns benefits to 3 organizations |
| I20200212000099 | TX | Practitioner - Nurse Practitioner | 0446537526 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Need-a-Nurse Medical Staffing, LLC
Practice addresses (Care Compare)
476 E Chubbuck Rd
Chubbuck, ID 83202-1816
Phone (208) 233-9898
Hospital & facility affiliations
- Portneuf Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CC Pocatello LLC | Current | Accepting new patients | |
| Need-a-Nurse Medical Staffing, LLC | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Shoshone Bannock Tribes, Inc | Current | Accepting new patients | |
| Community Care Pocatello PLLC | Current | Accepting new patients | |
| Need-a-Nurse Medical Staffing, LLC | Past | Accepting new patients | |
| Shoshone-Bannock Community Health Center | Past | Accepting new patients |
Locations
765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
476 E Chubbuck Rd
Pocatello, ID 83202
Phone (208) 233-9898
1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032
167 E 1st S
Rigby, ID 83442
Phone (208) 745-8747
Interoperability endpoints
- patriciastadler@fmcoc-id.direct.office.nextgen.com
Organizations & group practices 9
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.
-
- Urgent Care Clinic/Center
- Pocatello, ID
- NPI 1265714760
-
- Pain Medicine Physician
- Pocatello, ID
- NPI 1699141150
-
- Clinic/Center
- Fort Hall, ID
- NPI 1801949763
-
- Clinic/Center
- Chubbuck, ID
- NPI 1023353091
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Fort Hall, ID
- NPI 1225570716
Hospital & facility affiliations 2
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": "1489104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1124569108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 REDMAN ST",
"city": "CHUBBUCK",
"state": "ID",
"postal_code": "832022671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 REDMAN ST",
"city": "CHUBBUCK",
"state": "ID",
"postal_code": "832022671",
"telephone_number": "602-703-4196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STADLER",
"first_name": "PATRICIA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-10",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "53856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chubbuck, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.