Stacey Pratt, MPA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110003132 Issued in VA

Practice address

818 W 7TH St Ste 930
Los Angeles, CA 90017-3476

Phone

(646) 586-9908

NPI assigned

Sep 15, 2009

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 12

Addresses

Other names 1

• Stacey L. Shayder Former name

Medicare fee-for-service enrollment

Enrolled in VA, FL, CA, NY, AZ, MD, NC, SC, GA, WA, TX, CO, MA, DC14 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 14

Specialty

Physician Assistant

Education

Eastern Virginia Medical School, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Iora Senior Health LLCGroup PAC ID 0143520189, 117 clinicians

Iora Health Massachusetts, P.C.Group PAC ID 9638435035, 12 clinicians

Iora Health Colorado, P.C.Group PAC ID 8426323114, 42 clinicians

Centerwell Senior Primary Care VA PLLCGroup PAC ID 8426414186, 41 clinicians

Iora Health Texas, PLLCGroup PAC ID 2668702465, 22 clinicians

Iora Health Washington Physicians PCGroup PAC ID 1355614421, 36 clinicians

One Medical, P.C.Group PAC ID 3375872369, 11 clinicians

Iora Health Georgia PCGroup PAC ID 1850644394, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: stacey.pratt.1@29601.direct.athenahealth.com
• Direct secure messaging: stacey.pratt.p1@direct.vacardio.nextgenshare.com

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.

• Iora Health Georgia, P.C.

  dba One Medical

  • Internal Medicine Physician
  • Tucker, GA
  • NPI 1457846727
  Medicare reassignment Care Compare group NPD
• Iora Senior Health, LLC

  dba One Medical

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1619376456
  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care VA PLLC

  dba CenterWell Senior Primary Care-Tidewater

  • Internal Medicine Physician
  • Norfolk, VA
  • NPI 1568162808
  Medicare reassignment Care Compare group
• Iora Health Colorado, P.C.

  dba One Medical

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1568991511
  Medicare reassignment Care Compare group
• Iora Health Massachusetts, P.C.

  • Internal Medicine Physician
  • Medford, MA
  • NPI 1255842936
  Medicare reassignment Care Compare group
• Iora Health Texas, PLLC

  dba One Medical

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1114586708
  Medicare reassignment Care Compare group
• Iora Health Washington Physicians, P.C.

  dba One Medical

  • Internal Medicine Physician
  • Federal Way, WA
  • NPI 1023547072
  Medicare reassignment Care Compare group
• One Medical, P.C.

  dba One Medical

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1144886839
  Medicare reassignment Care Compare group
• Health Diagnostics of California a Professional Corporation

  dba Simonmed Imaging

  • Diagnostic Radiology Physician
  • Mountain View, CA
  • NPI 1104321959

  DC

  Medicare reassignment NPD
• Centerwell Senior Primary Care (SC) PC

  dba CenterWell Senior Primary Care-Orchard Park

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1376907790
  Medicare reassignment NPD
• Centerwell Senior Primary Care Ga PC

  dba CenterWell Senior Primary Care-Old National

  • Internal Medicine Physician
  • South Fulton, GA
  • NPI 1801463468
  Medicare reassignment NPD
• Centerwell Senior Primary Care SC JV PC

  dba CenterWell Senior Primary Care-Cayce

  • Internal Medicine Physician
  • West Columbia, SC
  • NPI 1962101501
  Medicare reassignment NPD

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

• Cape Cod Hospital Inc

  dba Cape Cod Hospital

  • General Acute Care Hospital
  • Hyannis, MA
  • NPI 1114984671
  Care Compare affiliation

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1619200128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 WANKEL WAY STE C",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300191",
            "telephone_number": "805-983-0922",
            "fax_number": "805-351-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W 7TH ST STE 930",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173476",
            "telephone_number": "646-586-9908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2241 Wankel Way Ste C",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "93030",
            "country_code": "US",
            "telephone_number": "805-983-0922",
            "fax_number": "805-351-8217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "156 W 56th St Ste 1000",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100193936",
            "country_code": "US",
            "telephone_number": "646-586-9908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "STACEY",
        "name_prefix": "Ms.",
        "credential": "MPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12869",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA100237",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9042",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17043",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028296",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61433652",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C08341",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11549",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007864",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53299",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4698",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "SHAYDER",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raquel Prati, MD
• Pratik Mehta M.D., Inc.
• Justin Pratt
• Kerrie Pratt, D.C.
• Robert Edwin Pratt, DPT
• Travonna Pratt
• Tamiko Pratts, RN
• Stephen Pratummas, RPH
• Nicole Prause, PHD
• Mark Pravin

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.