Individual provider Active NPI

Stacy Hanley

  • Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1144820978
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11009539 Issued in FL
Practice address
4600 SW 46TH CT Ste 340
Ocala, FL 34474-5782
Phone
(352) 291-0239
Fax
(352) 291-0254
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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 APRN11009539 FL Primary

Addresses

Primary practice location

4600 SW 46TH CT Ste 340
Ocala, FL 34474-5782

Mailing address

4600 SW 46TH CT Ste 340
Ocala, FL 34474-5782
Phone (352) 291-0239

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address STACY.HANLEY@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201124000122 FL Practitioner - Nurse Practitioner 6002227006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Health Surgical Group LLCGroup PAC ID 4082787130, 51 clinicians

Practice addresses (Care Compare)

4600 SW 46TH CT
Ocala, FL 34474-5708
Phone (352) 291-3000

Merit-based Incentive Payment System (MIPS)

Final score
89.82 of 100Reported as group
Quality
86.45
Promoting interoperability
99
Improvement activities
40
Cost
66.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11009539FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Health Surgical Group LLC CurrentSince Nov 30, 2020 Accepting new patients

Locations

1121 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 331-6777

4600 SW 46th Ct
Ste 250
Ocala, FL 34474
Phone (352) 291-2400

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

4600 SW 46th Ct
Ste 340
Ocala, FL 34474
Phone (352) 291-0239

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: stacy.hanley@hca5.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1144820978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SW 46TH CT STE 340",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745782",
            "telephone_number": "352-291-0239",
            "fax_number": "352-291-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SW 46TH CT STE 340",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745782",
            "telephone_number": "352-291-0239",
            "fax_number": "352-291-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2022-01-28",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11009539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "STACY.HANLEY@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4600 SW 46th Ct Ste 340",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344745782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.