Stacy Ann Donnelly, D.O

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

04015 Issued in KY

Practice address

2680 Campbellsville Rd
Greensburg, KY 42743-8898

Phone

(270) 299-2111

Fax

(270) 299-2211

NPI assigned

Jun 9, 2009

Last updated

Dec 2, 2016By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: donnelly.stacy.001.0170014@cfmc.meditab.direct-ci.com
• Direct secure messaging: stacy.donnelly@marshfieldclinichealthsystem.cernerdirect.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.

• Marshfield Clinic Inc

  dba Marshfield Clinic Florida Teleradiology/Telehealth

  • Clinic/Center
  • Marshfield, WI
  • NPI 1952347981
  Medicare reassignment NPD
• MCHS Hospitals Inc

  dba Marshfield Medical Center

  • Clinic/Center
  • Marshfield, WI
  • NPI 1093221434
  Medicare reassignment NPD
• Memorial Hospital Inc

  dba Marshfield Medical Center - Neillsville

  • Critical Access Hospital
  • Neillsville, WI
  • NPI 1346239373
  Medicare reassignment NPD
• MCHS Hospitals Inc

  dba Marshfield Medical Center - Eau Claire Cancer Center

  • Durable Medical Equipment & Medical Supplies
  • Eau Claire, WI
  • NPI 1558230847
  NPD
• Memorial Hospital Inc

  dba Memorial Hospital Inc Outreach Services

  • Clinic/Center
  • Neillsville, WI
  • NPI 1033701800
  NPD
• Memorial Hospital Inc

  dba Marshfield Medical Center - Neillsville Clinic

  • Rural Health Clinic/Center
  • Neillsville, WI
  • NPI 1619966793
  NPD (past)

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1629204284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6644",
            "fax_number": "270-858-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 CAMPBELLSVILLE RD",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427438898",
            "telephone_number": "270-299-2111",
            "fax_number": "270-299-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "STACY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "04015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100427790",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty Renee Curry
• Kinsy Davis, PT, DPT
• Sarah R Davis, APRN
• Dayspring Counseling Center
• Shane Timothy Desimone, MD
• Ann Hoagland Durham, CRNA ARNP
• Ronald Eastes, MA, LMFT-S
• Eastridge-Phelps Pharmacy LLC (Eastridge-Phelps Pharmacy Greensburg)
• Melanie R Embry
• Tessa Hancock Emmons, DMD

• Pediatrics Physician in Greensburg, KY
• Providers in Greensburg, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.