Michael John Stackpool, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

35748 Issued in CO

Practice address

8300 W. 38 Ave.
Wheat Ridge, CO 80033

Phone

(303) 425-2087

NPI assigned

May 9, 2006

Last updated

Oct 24, 2007By the provider in NPPES

Sex

Male

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 CO, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Reach Center IncGroup PAC ID 4284526971, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centracare - Redwood Hospital, Redwood Falls, MN, CCN 241351

Merit-based Incentive Payment System (MIPS)

Final score

94.04 of 100Reported as group

Quality

86.21

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

95.25 of 100Reported as group

Quality

96

Promoting interoperability

84

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.stackpool.p1@direct.communityreachcenter.nextgenshare.com
• Direct secure messaging: michael.stackpool.p2@direct.communityreachcenter.nextgenshare.com
• Direct secure messaging: mstackpool815338@direct.centracare.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.

• Community Reach Center, Inc

  • Community/Behavioral Health Agency
  • Thornton, CO
  • NPI 1316906886
  Medicare reassignment Care Compare group NPD
• Emergency Service Physicians, Inc.

  • Emergency Medicine Physician
  • Wheat Ridge, CO
  • NPI 1326097668
  Medicare reassignment NPD
• Carris Health - Redwood LLC

  dba CentraCare - Redwood

  • Critical Access Hospital
  • Redwood Falls, MN
  • NPI 1194206748
  Medicare reassignment NPD
• Carris Health - Redwood LLC

  • Emergency Medicine Physician
  • Redwood Falls, MN
  • NPI 1265914048
  Medicare reassignment NPD
• CCM Health

  • Critical Access Hospital
  • Montevideo, MN
  • NPI 1720086028
  Medicare reassignment NPD
• Community Reach Center, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Broomfield, CO
  • NPI 1841887056
  NPD
• Emergency Service Physicians, Inc.

  • Emergency Medicine Physician
  • Aurora, CO
  • NPI 1548895048
  NPD
• Carris Health - Redwood LLC

  dba CentraCare Home Health

  • Home Health Agency
  • Redwood Falls, MN
  • NPI 1386126167
  NPD
• Redwood Area Hospital

  • Critical Access Hospital
  • Redwood Falls, MN
  • NPI 1487733614
  NPD
• Valley Hope Association

  dba Parker Valley Hope

  • Substance Abuse Rehabilitation Facility
  • Parker, CO
  • NPI 1740216415
  NPD (past)

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

• Carris Health - Redwood LLC

  dba CentraCare - Redwood

  • Critical Access Hospital
  • Redwood Falls, MN
  • NPI 1194206748
  Care Compare affiliation

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1245289966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "M185",
            "address_2": "1153 BERGEN PARKWAY",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "80439",
            "telephone_number": "303-670-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W. 38 AVE.",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-425-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACKPOOL",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CO",
            "license": "35748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine West a Professional LLC
• Kathryn A Spott, NP
• Deanie J Spurlock-Gebhard
• Megann Jeanne St John, M.A.
• Melissa St. Clair, LPC
• Adam Matthew Staffen, DDS
• Sheila Maureen Stanley, PSY.D.
• Barbara A Stano
• Megan Starling
• Mary Jo Starmer, M.F.T.

• Emergency Medical Services (Emergency Medicine) Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.