Individual provider Active NPI

Staci Foglio, NP-C

  • Family Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1366918807
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008656A Issued in IN
Practice address
300 N Main St Ste D
Crown Point, IN 46307-3281
Phone
(219) 663-4888
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008656A IN Primary

Addresses

Primary practice location

300 N Main St Ste D
Crown Point, IN 46307-3281

Mailing address

300 N Main St Ste D
Crown Point, IN 46307-3281
Phone (219) 663-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20190301002502 IN Practitioner - Nurse Practitioner 5698014025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aceso Visiting Physicians and Geriatric Care Inc.Group PAC ID 9133344708, 17 clinicians

Practice addresses (Care Compare)

300 N Main St
Suite D
Crown Point, IN 46307-3281
Phone (219) 663-4888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.42 of 100Reported as individual
Quality
62.42
Improvement activities
40
Cost
41.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71008656AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aceso Visiting Physicians and Geriatric Care Inc. CurrentSince Jan 26, 2019 Accepting new patients

Locations

300 N Main St
Ste D
Crown Point, IN 46307
Phone (219) 663-4877

213 S Court St
Ste B
Crown Point, IN 46307
Phone (219) 663-4888

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1366918807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST STE D",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073281",
            "telephone_number": "219-663-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST STE D",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073281",
            "telephone_number": "219-663-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLIO",
        "first_name": "STACI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008656A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.