Individual provider Active NPI

Stacy Stavlund, CNM

  • Advanced Practice Midwife
  • Fairfax, VA
National Provider Identifier
1447785654
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0024174134 Issued in VA
Practice address
8260 Willow Oaks Corporate Dr Ste 350
Fairfax, VA 22031-4527
Phone
(571) 472-6720
Fax
(571) 432-2970
NPI assigned
Apr 25, 2017
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 0024174134 VA Primary

Addresses

Primary practice location

8260 Willow Oaks Corporate Dr Ste 350
Fairfax, VA 22031-4527

Mailing address

8260 Willow Oaks Corporate Dr Ste 350
Fairfax, VA 22031-4527
Phone (571) 472-6720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210218000361 DC Practitioner - Certified Nurse Midwife (CNM) 1759796097 Reassigns benefits to 2 organizations
I20210218001529 VA Practitioner - Certified Nurse Midwife (CNM) 1759796097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
George Washington University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 237-3446

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Apr 16, 2024 Accepting new patients
The Physician and Midwife Collaborative Practice CurrentSince Dec 15, 2020 Accepting new patients
Inova Health Care Services CurrentSince Apr 16, 2024 Accepting new patients
Inova Health Care Services Current Accepting new patients

Locations

4660 Kenmore Ave
Ste 902
Alexandria, VA 22304
Phone (703) 370-4300

8260 Willow Oaks Corporate Dr
Ste 350
Fairfax, VA 22031
Phone (571) 472-0920

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • Direct secure messaging: sstavlund315705@soc.inova.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1447785654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 WILLOW OAKS CORPORATE DR STE 350",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314527",
            "telephone_number": "571-472-6720",
            "fax_number": "571-432-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 WILLOW OAKS CORPORATE DR STE 350",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314527",
            "telephone_number": "571-472-6720",
            "fax_number": "571-432-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVLUND",
        "first_name": "STACY",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024174134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.