Stacy Foote
Individual provider Active NPI Medical Physician Assistant · Pelham, NH
NPI 1659848372 · NPPES record last updated Apr 18, 2019
Key facts
- NPI
- 1659848372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 7 Independence Dr
Pelham, NH 03076-2331 - Phone
- (603) 508-7332
- NPI assigned
- Oct 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cambridge Public Health Commission
Practice addresses (Care Compare)
103 Garland St
Everett, MA 02149-5066
Phone (617) 389-6270
Hospital & facility affiliations
- Cambridge Health Alliance
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.27 of 100
- Quality
- 77.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.72
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190425002023 | MA | Practitioner - Physician Assistant | 4183966039 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambridge Public Health Commission | Current |
Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients |
Locations
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
Interoperability endpoints
- sfoote90188@direct.challiance.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
7 Independence Dr
Pelham, NH 03076-2331
Mailing address
1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000
Other providers in Pelham, NH
- Nilfa Encarnacion Collins
- Lynne England
- Stephanie Elizabeth Ferello
- Maria Vanessa Ferreira
- Susan M Field
- Foundation Medical Partners Inc.
- Foundation Medical Partners Inc.
- Jennifer Gagne
- Krista Anne Garcia
- Veronique Codou George
All providers in Pelham, NH · Medical Physician Assistant in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.