Stacy Lyn Irwin, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

COA-13647-NP Issued in OH

Practice address

2600 Sixth St SW
Canton, OH 44710-1702

Phone

(330) 363-2180

Fax

(330) 363-2179

NPI assigned

Aug 21, 2012

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

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Community HospitalGroup PAC ID 7416995980, 10 clinicians

Ohio Specialty Physicians CorporationGroup PAC ID 3476643479, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
• Aultman Hospital Hospital, Canton, OH, CCN 360084

Merit-based Incentive Payment System (MIPS)

Final score

85.12 of 100Reported as group

Quality

77.5

Promoting interoperability

98

Improvement activities

40

Cost

74.58

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alliance Community Hospital

  • Nurse Practitioner
  • Alliance, OH
  • NPI 1598285157
  Medicare reassignment Care Compare group NPD
• Ohio Specialty Physicians Corporation

  • Surgery Physician
  • Canton, OH
  • NPI 1285745364
  Medicare reassignment Care Compare group NPD
• Aultman Deuble Heart & Vascular Hospital, LLC

  • Cardiovascular Disease Physician
  • Canton, OH
  • NPI 1306495718
  Medicare reassignment NPD
• Ohio Specialty Physicians Corporation

  • Durable Medical Equipment & Medical Supplies
  • North Canton, OH
  • NPI 1972299063
  NPD
• Aultman Hospital

  • Community/Retail Pharmacy
  • Canton, OH
  • NPI 1700941978
  NPD (past)

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

• Alliance Community Hospital

  • General Acute Care Hospital
  • Alliance, OH
  • NPI 1942385794
  Care Compare affiliation
• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1295083475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80690",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447080690",
            "telephone_number": "330-479-8705",
            "fax_number": "330-479-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SIXTH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-2180",
            "fax_number": "330-363-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "STACY",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA-13647-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iqbal a. Choudhry, MD, Inc.
• Amjad Iqbal, M.D.
• Lorinda J Irby, CCDC I, LCDC II
• Caitlin Nicole Irwin, DO
• Matthew Irwin, LPN
• Isd Renal Inc
• Alexander E Isla, MD
• Abdalla Ismail, MD
• Enri Ismaili
• Lama Issa, MD

• Acute Care Nurse Practitioner in Canton, OH
• Providers in Canton, 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 Aug 21, 2012; 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.