Individual provider Active NPI

Christopher J Stacer, PA-C

  • Medical Physician Assistant
  • Hartford, CT
National Provider Identifier
1750340782
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001323 Issued in CT
Practice address
85 Seymour St
Suite 607
Hartford, CT 06106-5501
Phone
(860) 549-3210
NPI assigned
Mar 20, 2006
Last updated
Mar 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001323 CT Primary

Addresses

Primary practice location

85 Seymour St
Suite 607
Hartford, CT 06106-5501

Mailing address

270 Farmington Ave
Suite 102
Farmington, CT 06032-1909
Phone (860) 549-8276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060428000108 CT Practitioner - Physician Assistant 5193735611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

14 Jones Hollow Rd
Suite 2
Marlborough, CT 06447-1448
Phone (860) 358-2850

28 Crescent St
Middletown, CT 06457-3654

31 Seymour St
Suite 100
Hartford, CT 06106-5521
Phone (860) 549-3210

345 Western Blvd
Glastonbury, CT 06033-4380
Phone (860) 549-3210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.04 of 100Reported as group
Quality
98.06
Promoting interoperability
100
Improvement activities
40
Cost
82.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1323CTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Hartford,PC CurrentSince Oct 1, 2008 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Oct 1, 2008 Accepting new patients
MHS Primary Care, Inc CurrentSince Nov 2, 2020 Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Medical Past Accepting new patients
Franklin Medical Group, PC Past Accepting new patients

Locations

270 Farmington Ave
Ste 102
Farmington, CT 06032

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8276

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

540 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (860) 347-6683

Interoperability endpoints

  • Direct secure messaging: christopher.stacer@xdr.hhchealthdirect.org
  • Direct secure messaging: cstacer59828@middlesexhealthprd.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1750340782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 FARMINGTON AVE",
            "address_2": "SUITE 102",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321909",
            "telephone_number": "860-549-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 607",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-549-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACER",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "001323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.