Active NPI
Stacy Rae Kreger, AGNP
- Primary Care Nurse Practitioner
- Brookings, OR
National Provider Identifier
1760956312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 201900396
- Practice address
- 524 Spruce St Ste 5
Brookings, OR 97415-0407 - Phone
- (541) 813-1505
- Fax
- (541) 813-1506
- NPI assigned
- Jan 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 201900396 | OR | Primary |
Addresses
Primary practice location
524 Spruce St Ste 5
Brookings, OR 97415-0407
Mailing address
PO Box 488
Brookings, OR 97415-0043
Phone (154) 181-3150
Other names 1
- Stacy Rae Stitzel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
524 Spruce St
Suite 5
Brookings, OR 97415-0407
Phone (541) 813-1505
Hospital & facility affiliations
- Coastal Home Health & Hospice
- Curry General Hospital
- Sutter Coast Hospital
- Asante Three Rivers Medical Center
- Asante Rogue Regional Medical Center
- Bay Area Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.75 of 100
- Quality
- 97.49
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201900396 | OR | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Well Medical, LLC | Single Specialty | Current | Accepting new patients |
Interoperability endpoints
- staceykreger@livingwellmed.curemd.direct-ci.com
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.
-
- Primary Care Nurse Practitioner
- Brookings, OR
- NPI 1508630856
Single Specialty
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- Home Health Agency
- Brookings, OR
- NPI 1396032447
-
- Critical Access Hospital Clinic/Center
- Brookings, OR
- NPI 1083656367
-
- Critical Access Hospital
- Gold Beach, OR
- NPI 1487696985
-
- General Acute Care Hospital
- Crescent City, CA
- NPI 1457367062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1760956312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 488",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974150043",
"telephone_number": "154-181-3150",
"fax_number": "541-813-1506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 SPRUCE ST STE 5",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974150407",
"telephone_number": "541-813-1505",
"fax_number": "541-813-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREGER",
"first_name": "STACY",
"middle_name": "RAE",
"credential": "AGNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-16",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "OR",
"license": "201900396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "STITZEL",
"middle_name": "RAE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brookings, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.