Individual provider Active NPI

Stacy Dawn Purcell, CNM

  • Advanced Practice Midwife
  • Moses Lake, WA
National Provider Identifier
1316452352
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP60826389 Issued in WA
Practice address
827 E Colonial Ave
Ste B
Moses Lake, WA 98837-4644
Phone
(509) 765-0674
Fax
(509) 764-0193
NPI assigned
Dec 13, 2017
Last updated
Apr 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP60826389 WA Primary

Addresses

Primary practice location

827 E Colonial Ave
Ste B
Moses Lake, WA 98837-4644

Mailing address

PO Box 2525
Moses Lake, WA 98837-0752
Phone (509) 707-0212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180223002396 WA Practitioner - Certified Nurse Midwife (CNM) 6709147283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

827 E Colonial Ave
Suite B
Moses Lake, WA 98837-4644
Phone (509) 707-0212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP60826389WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Women's Health and Midwifery Care LLC CurrentSince Apr 1, 2021 Accepting new patients
Grant County Public Hospital District 1 Past Accepting new patients

Locations

827 E Colonial Ave
Ste B
Moses Lake, WA 98837
Phone (509) 707-0212

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23469/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stacy.purcell.1@23469.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1316452352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2525",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988370752",
            "telephone_number": "509-707-0212",
            "fax_number": "509-707-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 E COLONIAL AVE",
            "address_2": "STE B",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374644",
            "telephone_number": "509-765-0674",
            "fax_number": "509-764-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "STACY",
        "middle_name": "DAWN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60826389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.