Active NPI
Stacie Michelle Beaver, CRNP
- Adult Health Nurse Practitioner
- Waynesboro, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP022183
- Practice address
- 601 E Main St
Waynesboro, PA 17268-2332 - Phone
- (717) 765-5088
- Fax
- (717) 765-5066
- NPI assigned
- Mar 2, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R139236 | MD | |
| Adult Health Nurse Practitioner | 363LA2200X | SP022183 | PA | Primary |
Addresses
Primary practice location
601 E Main St
Waynesboro, PA 17268-2332
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
1000 Norland Ave
Chambersburg, PA 17201-4229
Phone (717) 267-6363
Other practice location 2
100 Eisenhower Dr
Hanover, PA 17331-5241
Phone (717) 646-4201
Other practice location 3
46 Walnut Bottom Rd
Shippensburg, PA 17257-8219
Phone (717) 477-2764
Other practice location 4
24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 593-0512
Other practice location 5
455 S Washington St Ste 12
Gettysburg, PA 17325-2516
Phone (717) 339-2875
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103802293 | Medicaid | PA | |
| 12667440 | Other | CAQH | |
| 1619241007 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120507000401 | MD | Practitioner - Nurse Practitioner | 0446412597 | Reassigns benefits to 3 organizations |
| I20200716003421 | PA | Practitioner - Nurse Practitioner | 0446412597 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellspan Medical GroupMeritus Urgent Care LLC
Practice addresses (Care Compare)
100 Eisenhower Dr
Wellspan Urgent Care
Hanover, PA 17331-5241
Phone (717) 646-4201
13620 Crayton Blvd
Hagerstown, MD 21742-2335
Phone (240) 313-3100
Hospital & facility affiliations
- Wellspan Waynesboro Hospital
- Wellspan Chambersburg Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Meritus Urgent Care LLC | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Urological Center P a | Current | Accepting new patients | |
| Meritus Urgent Care, LLC | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Vasant Datta MD LLC | Past | Accepting new patients |
Locations
11110 Medical Campus Rd
Ste 228
Hagerstown, MD 21742
Phone (301) 733-0022
17301 Valley Mall Rd
Ste 125
Hagerstown, MD 21740
Phone (301) 790-9236
13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100
1000 Norland Ave
Chambersburg, PA 17201
Phone (717) 267-6363
12 St Paul Dr
Ste 101
Chambersburg, PA 17201
Phone (717) 217-6760
455 S Washington St
Ste 12
Gettysburg, PA 17325
Phone (717) 334-1800
24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512
100 Eisenhower Dr
Hanover, PA 17331
Phone (717) 646-4201
46 Walnut Bottom Rd
Shippensburg, PA 17257
Phone (717) 477-2764
601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Interoperability endpoints
- sbeaver242671@wellspan.direct-ci.com
- sbeaver1117001@meritus.direct-ci.net
Organizations & group practices 19
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.
-
- Podiatrist
- Chambersburg, PA
- NPI 1033897228
-
- Pulmonary Disease Physician
- York, PA
- NPI 1073756672
-
- Podiatrist
- Greencastle, PA
- NPI 1336827526
-
- Podiatrist
- Fayetteville, PA
- NPI 1700567260
-
- Urology Physician
- Gettysburg, PA
- NPI 1790195576
-
- Neurology Physician
- York, PA
- NPI 1831251792
-
- Diagnostic Radiology Physician
- York, PA
- NPI 1952587727
-
- Clinic/Center
- Hagerstown, MD
- NPI 1043065667
Hospital & facility affiliations 7
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": "1330646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1619241007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E MAIN ST",
"city": "WAYNESBORO",
"state": "PA",
"postal_code": "172682332",
"telephone_number": "717-765-5088",
"fax_number": "717-765-5066"
}
],
"practiceLocations": [
{
"address_1": "1000 Norland Ave",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172014229",
"country_code": "US",
"telephone_number": "717-267-6363",
"fax_number": "717-217-6937",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Eisenhower Dr",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173315241",
"country_code": "US",
"telephone_number": "717-646-4201",
"fax_number": "717-646-4202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "46 Walnut Bottom Rd",
"address_purpose": "LOCATION",
"city": "Shippensburg",
"state": "PA",
"postal_code": "172578219",
"country_code": "US",
"telephone_number": "717-477-2764",
"fax_number": "717-217-4207",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24 Antrim Commons Dr",
"address_purpose": "LOCATION",
"city": "Greencastle",
"state": "PA",
"postal_code": "172251623",
"country_code": "US",
"telephone_number": "717-593-0512",
"fax_number": "717-267-6135",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 S Washington St Ste 12",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173252516",
"country_code": "US",
"telephone_number": "717-339-2875",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAVER",
"first_name": "STACIE",
"middle_name": "MICHELLE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-02",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R139236",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP022183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103802293",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12667440",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1619241007",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waynesboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.