Stacy M Kirby, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

001929 Issued in IA

Practice address

1815 - 1St Ave SE
Suite 200
Cedar Rapids, IA 52402-5417

Phone

(319) 363-0474

Fax

(319) 363-2170

NPI assigned

Jul 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Clinic of Iowa PCGroup PAC ID 9436143542, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional Medical Center Hospital, Manchester, IA, CCN 161343

Merit-based Incentive Payment System (MIPS)

Final score

92.15 of 100Reported as group

Quality

94.02

Promoting interoperability

98

Improvement activities

40

Cost

81.47

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Dermatology Clinic of Iowa PC

  • Specialist
  • Cedar Rapids, IA
  • NPI 1962610725
  Medicare reassignment Care Compare group

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

• Delaware County Memorial Hospital

  • Critical Access Hospital
  • Manchester, IA
  • NPI 1750354676
  Care Compare affiliation

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1235393851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 - 1ST AVE SE",
            "address_2": "SUITE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025417",
            "telephone_number": "319-363-0474",
            "fax_number": "319-363-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 - 1ST AVE SE",
            "address_2": "SUITE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025417",
            "telephone_number": "319-363-0474",
            "fax_number": "319-363-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "STACY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-13",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "001929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962610725",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Louise King, RN
• Rhonda King, LMFT
• Kingston Hill, Inc.
• Robert Thomas Kingus, O.D.
• Daniel Stanton Kinker, DO
• Darren Eathan Kirk II, LMSW
• Drew Kirk, CADC
• Kirkwood Community College
• Jenny Marie Kirstein, DPT
• Bethany Jean Kirton, ARNP

• Dermatology Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.