NPIMap

Individual provider Active NPI

Stacey Rhodes, PA-C

  • Physician Assistant
  • Sterling, CO
National Provider Identifier
1184664484
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1749 Issued in CO
Practice address
1405 S 8TH Ave
Suite 103
Sterling, CO 80751-4563
Phone
(970) 522-3304
Fax
(970) 522-4615
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1749 CO Primary

Addresses

Primary practice location

1405 S 8TH Ave
Suite 103
Sterling, CO 80751-4563

Mailing address

1144 Beattie Dr
Sterling, CO 80751-3726
Phone (970) 522-9011

Other identifiers 1

IdentifierTypeStateIssuer
13958844MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060502000327 CO Practitioner - Physician Assistant 4880604107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Colorado Family Medicine Associates PCGroup PAC ID 2062404031, 5 clinicians

Practice addresses (Care Compare)

1405 S 8TH Ave
Suite 103
Sterling, CO 80751-4560
Phone (970) 740-3304

Hospital & facility affiliations

  • Northeast Plains Home Health Care LLC Home health agency, Sterling, CO, CCN 067460
  • Sterling Regional Medcenter Hospital, Sterling, CO, CCN 060076
  • East Morgan County Hospital Hospital, Brush, CO, CCN 061303
  • Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1749COMDPhysician Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGBIBD/Endpoint/BGBIBD

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1184664484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 BEATTIE DR",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513726",
            "telephone_number": "970-522-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S 8TH AVE",
            "address_2": "SUITE 103",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514563",
            "telephone_number": "970-522-3304",
            "fax_number": "970-522-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "STACEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13958844",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

Verify at the official NPI Registry.