Stacey Spehalski, PA-C, MPH

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

54687 Issued in CA

Practice address

31720 Temecula Pkwy Ste 200
Temecula, CA 92592-5895

Phone

(951) 303-6900

Fax

(951) 303-2900

NPI assigned

Jul 28, 2017

Last updated

Jul 28, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, PA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berks Plastic Surgery Institute PCGroup PAC ID 6305825902, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Berks Plastic Surgery Institute PC

  • Plastic Surgery Physician
  • Wyomissing, PA
  • NPI 1679695589
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1215451588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40680 WALSH CENTER DR APT 211",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628584",
            "telephone_number": "484-221-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31720 TEMECULA PKWY STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925895",
            "telephone_number": "951-303-6900",
            "fax_number": "951-303-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEHALSKI",
        "first_name": "STACEY",
        "name_prefix": "Ms.",
        "credential": "PA-C, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "54687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spa M Medical Corporation
• Spa M Medical Corporation
• Nicole Lynn Sparman
• Speech and Language Development Center (Speech and Language Development Center Inc.)
• Speech Pathology Services
• Maria Cristina De Vega Spencer, FNP
• Tashia Sperry, PA-C
• Spinelli Family Therapy Inc
• Lisa Spinelli, LMFT
• Christine Carol Sponsler

• Dermatology Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.