NPIMap

Individual provider Active NPI

Stacie A Gilroy

  • Physician Assistant
  • Papillion, NE
National Provider Identifier
1619906864
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
726 Issued in NE
Practice address
249 Olson Drive
Suite 111
Papillion, NE 68046-2974
Phone
(402) 991-2200
Fax
(402) 991-2242
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 726 NE Primary

Addresses

Primary practice location

249 Olson Drive
Suite 111
Papillion, NE 68046-2974

Mailing address

249 Olson Drive
Suite 111
Papillion, NE 68046-2974
Phone (402) 991-2200

Other identifiers 1

IdentifierTypeStateIssuer
470834610OtherTAX IDENIFICATION NUMBER

Other names 1

  • Stacie A Spiehs Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130218000509 NE Practitioner - Physician Assistant 7416102603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • CHI Health Midlands Hospital, Papillion, NE, CCN 280105
  • Bellevue Medical Center Hospital, Bellevue, NE, CCN 280132
  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
726NEMDPhysical Therapy Assistant

Organizations & group practices 1

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619906864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 OLSON DRIVE",
            "address_2": "SUITE 111",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462974",
            "telephone_number": "402-991-2200",
            "fax_number": "402-991-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 OLSON DRIVE",
            "address_2": "SUITE 111",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462974",
            "telephone_number": "402-991-2200",
            "fax_number": "402-991-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILROY",
        "first_name": "STACIE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENIFICATION NUMBER",
            "identifier": "470834610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "SPIEHS",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.