NPIMap

Individual provider Active NPI

Stacy Quinn, D.O.

  • Family Medicine Physician
  • Harrisonburg, VA
National Provider Identifier
1275894529
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102206685 Issued in VA
Practice address
1661 S Main St
Harrisonburg, VA 22801-2728
Phone
(540) 564-7300
Fax
(757) 431-7100
NPI assigned
Jun 4, 2012
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS12721 FL
Family Medicine Physician 207Q00000X 0102206685 VA Primary

Addresses

Primary practice location

1661 S Main St
Harrisonburg, VA 22801-2728

Mailing address

1661 S Main St
Harrisonburg, VA 22801-2728
Phone (540) 564-7300

Other practice location 1

769 Blanding Blvd Ste 7
Orange Park, FL 32065
Phone (904) 458-4882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160208002023 FL Practitioner - Family Practice 5799089942 Reassigns benefits to 1 organization
I20210922000524 VA Practitioner - Family Practice 5799089942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians

Practice addresses (Care Compare)

1661 S Main St
Harrisonburg, VA 22801-2728
Phone (540) 564-7300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102206685VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Sep 13, 2021 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jan 1, 2016 Accepting new patients
RMH Medical Group LLC CurrentSince Sep 13, 2021 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jan 1, 2016 Accepting new patients
Baptist Primary Care Inc Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients

Locations

3 Shircliff Way
Ste 330
Jacksonville, FL 32204
Phone (904) 384-7370

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

1661 S Main St
Harrisonburg, VA 22801
Phone (540) 433-2554

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1275894529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 S MAIN ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228012728",
            "telephone_number": "540-564-7300",
            "fax_number": "757-431-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 S MAIN ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228012728",
            "telephone_number": "540-564-7300",
            "fax_number": "757-431-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "769 Blanding Blvd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "32065",
            "country_code": "US",
            "telephone_number": "904-458-4882",
            "fax_number": "904-485-4899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "STACY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS12721",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102206685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.