Stacey Lynn Redding, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP026490 Issued in PA

Practice address

830 5TH Ave Ste 103
Chambersburg, PA 17201-4224

Phone

(717) 709-7950

NPI assigned

Oct 26, 2022

Last updated

Jan 26, 2024By the provider in NPPES

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

Other names 1

• Stacey Rotz Redding Professional name

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sredding295208@wellspan.direct-ci.com

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.

• Keystone Rural Health Center

  dba Keystone Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Chambersburg, PA
  • NPI 1538166905
  Medicare reassignment NPD
• Keystone Rural Health Center

  dba Keystone Pharmacy Catherine Street

  • Community/Retail Pharmacy
  • Chambersburg, PA
  • NPI 1053105288
  NPD
• Keystone Rural Health Center

  dba Keystone Chiropractic Chambers Hill Drive

  • Federally Qualified Health Center (FQHC)
  • Chambersburg, PA
  • NPI 1104480227
  NPD

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1235856618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHAMBERS HILL DR STE 200",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017304",
            "telephone_number": "717-709-7922",
            "fax_number": "717-263-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 5TH AVE STE 103",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014224",
            "telephone_number": "717-709-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDING",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "REDDING",
            "middle_name": "ROTZ",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Janelle Reall
• Melanie Henderson Reaser, MPAS, PA-C
• Marcia Rebert
• Mary Rebert, LSW
• Joann Mae Rebuck, COTA
• Sarah Reed, PA-C
• Reflexonic LLN
• Melissa Regal, P.T.A.
• Rehabilitation Associates of Chambersburg, LLC
• Carrie Ellen Reinhart, CRNA

• Family Nurse Practitioner in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.