Stacy Rebecca Rummer, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

240417 Issued in AZ

Practice address

2141 E Broadway Rd Ste 120
Tempe, AZ 85282-1895

Phone

(480) 440-4910

NPI assigned

Apr 30, 2020

Sex

Female

Sole proprietor

No

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 AZ

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

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlas Medical Aco LLCGroup PAC ID 1456885227, 50 clinicians

Century Care IncGroup PAC ID 3971665605, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Camelback Post Acute Care and Rehabilitation Nursing home, Phoenix, AZ, CCN 035088

Merit-based Incentive Payment System (MIPS)

Final score

77.24 of 100Reported as group

Quality

66.21

Improvement activities

40

Cost

66.73

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacy.rummer@57560418353156.direct.elationemr.com

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.

• Atlas Medical Aco LLC

  • Clinic/Center
  • Mesa, AZ
  • NPI 1396573705
  Medicare reassignment Care Compare group NPD
• Century Care Inc

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1346499324
  Medicare reassignment Care Compare group NPD
• Highland Healthcare LLC

  • Skilled Nursing Facility
  • Phoenix, AZ
  • NPI 1811989866
  NPD (past)
• Western Canal Healthcare LLC

  • Skilled Nursing Facility
  • Tempe, AZ
  • NPI 1639791890
  NPD (past)

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

• Highland Healthcare LLC

  • Skilled Nursing Facility
  • Phoenix, AZ
  • NPI 1811989866

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1235750258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 E BROADWAY RD STE 120",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821895",
            "telephone_number": "480-440-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 E BROADWAY RD STE 120",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821895",
            "telephone_number": "480-440-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMMER",
        "first_name": "STACY",
        "middle_name": "REBECCA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "240417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Ann Ruidiaz, RN
• Leytocha Evette Ruinard, N.D.
• Dale Todd Ruiter, P.T.
• Guillermo Ruiz, NMD
• Olivia Ruiz
• Renee Marie Rundle, FNP
• Jeanette C Runnings, OT
• Rural Metro Fire Dept Inc
• Melinda Ann Rusanowski
• Brian Edward Rush, PA-C

• Family Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.