Staci R Fellows, MSN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.16293 Issued in OH

Practice address

119 W Main St
Quaker City, OH 43773-9422

Phone

(740) 239-6447

NPI assigned

Feb 7, 2013

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

Other names 1

• Staci R Miller Former name

Electronic endpoints 3

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Hills Health ServicesGroup PAC ID 7113990177, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeastern Home Care, LLC Home health agency, Cambridge, OH, CCN 367433
• Barnesville Hospital Association, Inc Hospital, Barnesville, OH, CCN 361321
• Southeastern Ohio Regional Medical Center Hospital, Cambridge, OH, CCN 360203

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: staci.fellows@ohhs.eclinicaldirectplus.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.

• Ohio Hills Health Services

  • Federally Qualified Health Center (FQHC)
  • Barnesville, OH
  • NPI 1326089129
  Medicare reassignment Care Compare group NPD
• Ohio Hills Health Services

  • Federally Qualified Health Center (FQHC)
  • Quaker City, OH
  • NPI 1245586254
  NPD
• Ohio Hills Health Services

  • Federally Qualified Health Center (FQHC)
  • Bellaire, OH
  • NPI 1740009455
  NPD

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

• Barnesville Hospital Association, Inc.

  • Critical Access Hospital
  • Barnesville, OH
  • NPI 1235135450
  Care Compare affiliation
• Southeastern Home Care LLC

  • Home Health Agency
  • Cambridge, OH
  • NPI 1851628028
  Care Compare affiliation
• Southeastern Ohio Regional Medical Center Inc

  • Rural Acute Care Hospital
  • Cambridge, OH
  • NPI 1346247350
  Care Compare affiliation

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1346589553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64342 ENDLEY RD",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437257509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W MAIN ST",
            "city": "QUAKER CITY",
            "state": "OH",
            "postal_code": "437739422",
            "telephone_number": "740-239-6447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44069 Marietta Rd",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "OH",
            "postal_code": "437249124",
            "country_code": "US",
            "telephone_number": "740-239-6447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Main St",
            "address_purpose": "LOCATION",
            "city": "Barnesville",
            "state": "OH",
            "postal_code": "437131005",
            "country_code": "US",
            "telephone_number": "740-239-6447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "STACI",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.16293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staci.fellows@ohhs.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "119 W Main St",
            "city": "Quaker City",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437739422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staci.fellows@ohhs.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "101 E Main St",
            "city": "Barnesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437131005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staci.fellows@ohhs.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "44069 Marietta Rd",
            "city": "Caldwell",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437249124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "MILLER",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Ohio Hills Health Services
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• Family Nurse Practitioner in Quaker City, OH
• Providers in Quaker City, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.