Active NPI
Stacey L Dunn, CSA
- Physician Assistant
- Providence, RI
National Provider Identifier
1497981880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00872
- Practice address
- 825 Chalkstone Ave
Providence, RI 02908-4728 - Phone
- (401) 456-2000
- NPI assigned
- May 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA6561 | MA | |
| Physician Assistant | 363A00000X | PA00872 | RI | Primary |
Addresses
Primary practice location
825 Chalkstone Ave
Providence, RI 02908-4728
Mailing address
57 Alton St
Walpole, MA 02081-4101
Phone (413) 297-0237
Other practice location 1
200 High Service Ave
North Providence, RI 02904-5113
Phone (401) 456-3000
Other practice location 2
115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 383-1000
Other practice location 3
57 Alton St
Walpole, MA 02081-4101
Phone (413) 297-0237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110136606A | Medicaid | MA |
Other names 1
- Stacey L McCann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Tufts University School of Medicine, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
307 S Evergreen Ave
Woodbury, NJ 08096-2739
57 Alton St
Walpole, MA 02081-4101
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA6561 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Associates of Massachusetts PC | Current | Accepting new patients |
Locations
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Worcester, MA
- NPI 1730885252
-
- Emergency Medicine Physician
- North Providence, RI
- NPI 1639537335
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1497981880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 ALTON ST",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020814101",
"telephone_number": "413-297-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 CHALKSTONE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029084728",
"telephone_number": "401-456-2000"
}
],
"practiceLocations": [
{
"address_1": "200 High Service Ave",
"address_purpose": "LOCATION",
"city": "North Providence",
"state": "RI",
"postal_code": "029045113",
"country_code": "US",
"telephone_number": "401-456-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Lincoln St",
"address_purpose": "LOCATION",
"city": "Framingham",
"state": "MA",
"postal_code": "017026358",
"country_code": "US",
"telephone_number": "508-383-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "57 Alton St",
"address_purpose": "LOCATION",
"city": "Walpole",
"state": "MA",
"postal_code": "020814101",
"country_code": "US",
"telephone_number": "413-297-0237",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNN",
"first_name": "STACEY",
"middle_name": "L",
"credential": "CSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-31",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA6561",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA00872",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110136606A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STACEY",
"last_name": "MCCANN",
"middle_name": "L",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.