Individual provider Active NPI

Stacy Lynn Mihlek, DNP FNP-BC

  • Family Nurse Practitioner
  • Great Barrington, MA
National Provider Identifier
1750889614
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
278060 Issued in MA
Practice address
475 Main St
Great Barrington, MA 01230-1822
Phone
(413) 644-6499
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 278060 MA Primary

Addresses

Primary practice location

475 Main St
Great Barrington, MA 01230-1822

Mailing address

44 Fuller St
Lee, MA 01238-1302
Phone (413) 822-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180503000318 MA Practitioner - Nurse Practitioner 0042574873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview HospitalGroup PAC ID 1254240773, 56 clinicians

Practice addresses (Care Compare)

780 Main St
Great Barrington, MA 01230-2148
Phone (413) 528-8290

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
278060MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Mar 25, 2018 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Mar 25, 2018 Accepting new patients
Fairview Hospital CurrentSince Sep 30, 2020 Accepting new patients
Fairview Hospital CurrentSince Sep 30, 2020 Accepting new patients
Hillcrest Family Health Center Past Accepting new patients
Fairview Hospital Past Accepting new patients

Locations

780 Main St
#A
Great Barrington, MA 01230

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

475 Main St
Gt Barrington, MA 01230
Phone (413) 644-6499

780 S Main St
Gt Barrington, MA 01230
Phone (413) 528-1470

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Interoperability endpoints

  • Direct secure messaging: stacymihlek@bfs.medalliesdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1750889614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 FULLER ST",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012381302",
            "telephone_number": "413-822-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 MAIN ST",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301822",
            "telephone_number": "413-644-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHLEK",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "DNP FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "278060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

Sources for this page

Verify at the official NPI Registry.