Stacey Brock

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN.CNP.0028636 Issued in OH

Practice address

3050 Mack Rd Ste 300
Fairfield, OH 45014-5376

Phone

(513) 751-2273

Fax

(513) 751-1848

NPI assigned

May 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oncology Hematology Care IncGroup PAC ID 8921910373, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
• Fort Hamilton Hughes Memorial Hospital Hospital, Hamilton, OH, CCN 360132
• The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
• Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacey.brock@ohc.ikm.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 and National Provider Directory roles.

• Oncology Hematology Care Inc

  • Medical Oncology Physician
  • Cincinnati, OH
  • NPI 1790778041

  Single Specialty

  Medicare reassignment Care Compare group NPD
• University of Cincinnati Physicians Company, LLC

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1801840434

  Single Specialty

  Medicare reassignment NPD
• Oncology Hematology Care, Inc.

  • Radiology Clinic/Center
  • Cincinnati, OH
  • NPI 1386757896
  NPD
• Oncology Hematology Care, Inc.

  • Medical Oncology Physician
  • Cincinnati, OH
  • NPI 1063416808
  NPD (past)

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

• Jewish Hospital LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1336478163
  Care Compare affiliation
• Mercy Health - Fairfield Hospital LLC

  • General Acute Care Hospital
  • Fairfield, OH
  • NPI 1467552471
  Care Compare affiliation
• Mercy Health - West Hospital LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1912007931
  Care Compare affiliation
• Mercy Health - West Hospital LLC

  • Clinical Medical Laboratory
  • Cincinnati, OH
  • NPI 1982728036

  Hospital

  Care Compare affiliation
• The Fort Hamilton Hospital

  • General Acute Care Hospital
  • Hamilton, OH
  • NPI 1104867167
  Care Compare affiliation

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1285370296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3984 ROSEWOOD DRIVE",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "45102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MACK RD STE 300",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145376",
            "telephone_number": "513-751-2273",
            "fax_number": "513-751-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "STACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0028636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stacey.Brock@ohc.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3050 Mack Rd Ste 300",
            "city": "Fairfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450145376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian M . Meister, DDS & Associates
• Bridging the Gap Holistic Services, LLC
• Brightlight Healthcare LLC
• Brightview, LLC
• Kimberly S Britton, LPCC
• Christina Brockman
• Brookdale Senior Living Communities Inc
• Janice Brooker, APRN-CNP
• M. Anna Brooks, LISW, LICDC
• Gregory John Broughton, MD

• Acute Care Nurse Practitioner in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.