Stacy Jill Hoover, APRN/FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21391 Issued in SC

Practice address

1 Wellness Blvd Ste 202
Irmo, SC 29063-2873

Phone

(803) 749-1111

Fax

(803) 749-0050

NPI assigned

Oct 24, 2017

Last updated

Jul 25, 2023By 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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

82.87 of 100Reported as group

Quality

79.98

Improvement activities

40

Cost

79.6

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: shoover@scpa.pcc-direct.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.

• South Carolina Pediatrics Alliance, LLC

  • Pediatric Adolescent Medicine Physician
  • Columbia, SC
  • NPI 1184016941
  NPD
• Southern Medical Management, LLC

  dba SouthernMED Counseling

  • Pediatrics Physician
  • Lexington, SC
  • NPI 1114196557
  NPD (past)

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1245742774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 SUNSET BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722728",
            "telephone_number": "803-957-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WELLNESS BLVD STE 202",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632873",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5608 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290722728",
            "country_code": "US",
            "telephone_number": "803-957-5322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "STACY",
        "middle_name": "JILL",
        "credential": "APRN/FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2023-07-25",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "21391",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4819",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeisha Hollingsworth, LMSW
• Louise C. Holmes, MN,RN, CANP
• Home Furniture & Appliance Inc
• Homestead Hospice of Columbia LLC (Traditions Health of Columbia)
• Homestead Hospice of Columbia LLC (Traditions Health of Columbia)
• Deshera S. Hopkins-Huntly, CERT. NURSING. ASSIS
• Jennifer W Horgan, M.A., CCC-SLP
• Kailyn Ruth Horn, PT, DPT
• Rhonda Howze
• Joshua Hudson-Bonner

• Family Nurse Practitioner in Irmo, SC
• Providers in Irmo, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.