Staci Michelle West, ACNP DNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

CNP02096 Issued in NM

Practice address

1621 N Washington Ave
Roswell, NM 88201-3272

Phone

(806) 786-7078

Fax

(575) 625-8452

NPI assigned

Nov 29, 2012

Last updated

May 9, 2019By the provider in NPPES

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 NM, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Texas Tech University Health Science Center School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Travis County Emergency Physicians PAGroup PAC ID 0840289468, 289 clinicians

Las Cruces HB Medical Services LLCGroup PAC ID 8123473600, 157 clinicians

Hospitalist Medicine Physicians of New Mexico - Clovis LLCGroup PAC ID 0345618849, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Health Hobbs Hospital Hospital, Hobbs, NM, CCN 320065
• Carlsbad Medical Center Hospital, Carlsbad, NM, CCN 320063
• Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospitalist Medicine Physicians of New Mexico - Clovis, LLC

  • Emergency Medicine Physician
  • Hobbs, NM
  • NPI 1477031094

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Las Cruces HB Medical Services LLC

  dba MountainView Regional Medical Center

  • Emergency Medicine Physician
  • Las Cruces, NM
  • NPI 1598446171

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment Care Compare group
• Alteon Health New Mexico LLC

  • Emergency Medicine Physician
  • Hobbs, NM
  • NPI 1457636706

  Nurse Practitioner

  Medicare reassignment NPD
• Fedko Emergency Physicians New Mexico LLC

  • Emergency Medicine Physician
  • Grants, NM
  • NPI 1770047441
  Medicare reassignment NPD
• Emergency Staffing Solutions Inc

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1477590974

  NM

  Medicare reassignment NPD
• Ess Hospitalist LLC

  • Hospitalist Physician
  • Crossett, AR
  • NPI 1881967305

  NM

  Medicare reassignment NPD
• Nes Arizona Inc

  • Emergency Medicine Physician
  • Fort Mohave, AZ
  • NPI 1285163121

  NM

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095

  NM

  Medicare reassignment
• Third Coast Emergency Physicians Southwest PA

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1497793475
  Medicare reassignment
• Siavash Karimian MD of New Mexico PC Dba Roswell Medico

  dba Roswell MediCo

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1053546796

  Acute Care

  NPD
• Pearson Heart Clinic, LLC

  • Cardiovascular Disease Physician
  • Roswell, NM
  • NPI 1104241173
  NPD (past)

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

• Carlsbad Medical Center LLC

  dba Carlsbad Medical Center - Rehab

  • Rehabilitation Hospital Unit
  • Carlsbad, NM
  • NPI 1114949781
  Care Compare affiliation
• Carlsbad Medical Center LLC

  dba Carlsbad Medical Center

  • General Acute Care Hospital
  • Carlsbad, NM
  • NPI 1790722346
  Care Compare affiliation
• Covenant Hospital Hobbs

  dba Covenant Health Hobbs Hospital

  • General Acute Care Hospital
  • Hobbs, NM
  • NPI 1215534466
  Care Compare affiliation
• Sid Peterson Memorial Hospital

  dba Peterson Regional Medical Center

  • Rural Acute Care Hospital
  • Kerrville, TX
  • NPI 1790782704
  Care Compare affiliation

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1326383589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N WASHINGTON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013272",
            "telephone_number": "806-786-7078",
            "fax_number": "575-625-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N WASHINGTON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013272",
            "telephone_number": "806-786-7078",
            "fax_number": "575-625-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "STACI",
        "middle_name": "MICHELLE",
        "credential": "ACNP DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "CNP02096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellspring of Life Enterprises LLC
• Donald E Wenner III, M.D.
• Donald E. Wenner, M.D.
• West Road Emergency Physicians
• West Texas Rehabilitation Services, LLC (RehabGenix)
• Karen Whalen
• Wheelchair and Walker Rentals, Inc.
• White Mattress Co.
• Samantha Kaye White, CNP
• Thomas Marshall White, OD

• Acute Care Nurse Practitioner in Roswell, NM
• Providers in Roswell, NM by specialty
• Acute Care Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.