NPIMap

Individual provider Active NPI

Stacey Panasci, PA-C

  • Physician Assistant
  • Springfield, MA
National Provider Identifier
1508048430
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1485 Issued in MA
Practice address
300 Carew St
Suite 2
Springfield, MA 01104-2485
Phone
(413) 781-5050
Fax
(413) 781-2510
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1485 MA Primary

Addresses

Primary practice location

300 Carew St
Suite 2
Springfield, MA 01104-2485

Mailing address

300 Carew St
Suite 2
Springfield, MA 01104-2485
Phone (413) 781-5050

Other names 1

  • Stacey Myers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080211000056 MA Practitioner - Physician Assistant 2264325828 Reassigns benefits to 1 organization
I20191106002374 CT Practitioner - Physician Assistant 2264325828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Medical Group IncGroup PAC ID 2365698024, 17 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208

175 Carew St
Suite 150
Springfield, MA 01104-2391
Phone (413) 452-6570

56 Franklin St
Waterbury, CT 06706-1253
Phone (203) 709-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4617CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Dec 16, 2019 Accepting new patients
Baystate Medical Practices, Inc PastSince Mar 1, 2015 Accepting new patients
Hampden County Physician Associates, LLC Past Accepting new patients
The Mercy Hospital Inc Past Accepting new patients

Locations

852 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 714-5895

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

476 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 696-6400

Interoperability endpoints

  • Direct secure messaging: spanasci2367118@direct.trinity-health.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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1508048430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CAREW ST",
            "address_2": "SUITE 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042485",
            "telephone_number": "413-781-5050",
            "fax_number": "413-781-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CAREW ST",
            "address_2": "SUITE 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042485",
            "telephone_number": "413-781-5050",
            "fax_number": "413-781-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANASCI",
        "first_name": "STACEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "MYERS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.