NPIMap

Individual provider Active NPI

Stacy L Farley, PA-C

  • Physician Assistant
  • Madison, WI
National Provider Identifier
1255643417
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3038-23 Issued in WI
Practice address
700 S Park St
Madison, WI 53715-1830
Phone
(800) 680-4369
NPI assigned
Jul 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3038-23 WI Primary
Physician Assistant 363A00000X 085.003773 IL

Addresses

Primary practice location

700 S Park St
Madison, WI 53715-1830

Mailing address

700 S Park St
Madison, WI 53715-1830
Phone (800) 680-4369

Other practice location 1

800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1000

Other identifiers 1

IdentifierTypeStateIssuer
1255643417MedicaidWI

Other names 1

  • Stacy Lynn Summers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130102000203 WI Practitioner - Physician Assistant 2961697412 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upland Hills Health IncGroup PAC ID 3072415553, shared by 13 NPIs, 97 clinicians
Madison Emergency Physicians SCGroup PAC ID 4587631858, 17 clinicians
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

1883 Springdale St
Mount Horeb, WI 53572-2477
Phone (608) 437-8040

530 Wisconsin Dells Pkwy S
Wisconsin Dells, WI 53965-9732
Phone (608) 254-5959

551 Main St
Highland, WI 53543-9779
Phone (608) 929-4518

5535 Nobel Dr
Fitchburg, WI 53711-4955
Phone (312) 635-0973

700 S Park St
Madison, WI 53715-1830
Phone (608) 416-1527

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.003773ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upland Hills Health, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Oct 27, 2025 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Oct 27, 2025 Accepting new patients
Prairie Ridge Health Inc. CurrentSince Nov 1, 2025 Accepting new patients
Upland Hills Health, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Nov 1, 2025 Accepting new patients
Upland Hills Health, Inc CurrentSince Jan 1, 2025 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Nov 1, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Mar 11, 2024 Accepting new patients
Richard S Veiga MD SC Current Accepting new patients
Prairie Ridge Health, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Ihc-Libertyville Emergency Physicians, LLC Physician Assistant Past Accepting new patients

Locations

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

5535 Nobel Dr
Fitchburg, WI 53711
Phone (414) 405-8348

3400 E Racine St
Janesville, WI 53546
Phone (608) 373-8000

8633 32nd Ave
Kenosha, WI 53142
Phone (262) 694-8300

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

6201 Elmwood Ave
Middleton, WI 53562
Phone (608) 830-5141

1809 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-8033

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

Interoperability endpoints

  • Direct secure messaging: sfarleysummers392364@direct-ehr-ssmhc.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1255643417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151830",
            "telephone_number": "800-680-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151830",
            "telephone_number": "800-680-4369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811943",
            "country_code": "US",
            "telephone_number": "715-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "STACY",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-05",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3038-23",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.003773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255643417",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "SUMMERS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.