NPIMap

Individual provider Active NPI

Stacy Ritchie

  • Medical Physician Assistant
  • Hindman, KY
National Provider Identifier
1184862088
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA598 Issued in KY
Practice address
566 Hwy 899
Hindman, KY 41822
Phone
(606) 785-3164
Fax
(606) 785-0107
NPI assigned
Jan 30, 2009
Last updated
Jan 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA598 KY Primary

Addresses

Primary practice location

566 Hwy 899
Hindman, KY 41822

Mailing address

566 Hwy 899
Hindman, KY 41822
Phone (606) 785-3164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20090305000444 KY Practitioner - Physician Assistant 4880750447 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain After Hours Clinic PSCGroup PAC ID 0547170102, 31 clinicians

Practice addresses (Care Compare)

1908 N Main St
Suite 120
Hazard, KY 41701-2503
Phone (606) 439-2662

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
83.59
Improvement activities
40
Cost
90.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain After Hours Clinic PSC CurrentSince Aug 1, 2022 Accepting new patients
Jackson Physician Corp Past Accepting new patients

Locations

1908 N Main St
Ste 120
Hazard, KY 41701
Phone 60643926622038

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIEDDD
  • Direct secure messaging: sritch04@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1184862088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 HWY 899",
            "city": "HINDMAN",
            "state": "KY",
            "postal_code": "41822",
            "telephone_number": "606-785-3164",
            "fax_number": "606-785-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 HWY 899",
            "city": "HINDMAN",
            "state": "KY",
            "postal_code": "41822",
            "telephone_number": "606-785-3164",
            "fax_number": "606-785-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCHIE",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hindman, KY

Sources for this page

Verify at the official NPI Registry.