Jessica Lynne Stager, PA-C
Individual provider Active NPI Medical Physician Assistant · Greenville, OH
NPI 1770868697 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1770868697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 50.003341 (OH)
- Practice address
- 5735 Meeker Rd
Greenville, OH 45331-1186 - Phone
- (937) 548-9680
- Fax
- (937) 548-2087
- NPI assigned
- Oct 12, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Services of Darke County, Inc.
Practice addresses (Care Compare)
10484 Kley Rd
Versailles, OH 45380-9561
Phone (937) 526-3016
5735 Meeker Rd
Greenville, OH 45331-1180
Phone (937) 548-9680
Hospital & facility affiliations
- Wayne Hospital
- Upper Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 73.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20130506000300 | OH | Practitioner - Physician Assistant | 9032356373 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50003341 | OH | MD | Physician Assistant |
| 50.003341 | OH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Current |
Accepting new patients | |
| Premier Health Specialists Inc | Current |
Accepting new patients | |
| Premier Health Specialists Inc | Current |
Accepting new patients | |
| Family Health Services of Darke County, Inc. | Current |
Accepting new patients | |
| Alliance Physicians Inc | Current |
Accepting new patients | |
| Family Health Services of Darke County, Inc. | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Family Health Services of Darke County Inc | Past | Accepting new patients | |
| Family Health Services of Darke County, Inc. | Past | Accepting new patients |
Locations
702 N Main St
Arcanum, OH 45304
Phone (937) 548-1141
5735 Meeker Rd
Greenville, OH 45331
Phone (937) 548-3806
1101 Jackson St
Ste C
Greenville, OH 45331
Phone (937) 547-2319
101 Anderson St
New Madison, OH 45346
Phone (937) 996-0023
200 Kienle Dr
Piqua, OH 45356
Phone (937) 339-5355
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
700 S Stanfield Rd
Ste A
Troy, OH 45373
Phone (934) 339-5355
700 S Stanfield Rd
Ste 1
Troy, OH 45373
700 S Stanfield Rd
Troy, OH 45373
Phone (937) 335-7121
600 W Main St
Ste 330
Troy, OH 45373
Phone (937) 429-7350
700 S Stanfield Rd
#1
Troy, OH 45373
Phone (937) 339-5355
10484 Kley Rd
Versailles, OH 45380
Phone (937) 526-3016
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50003341 | OH | |
| Medical Physician Assistant | 363AM0700X | 50.003341 | OH | Yes |
Addresses
Primary practice location
5735 Meeker Rd
Greenville, OH 45331-1186
Mailing address
5735 Meeker Rd
Greenville, OH 45331-1186
Phone (937) 548-3806
Other practice location 1
700 S Stanfield Rd
Ste a
Troy, OH 45373-2569
Phone (937) 223-4461
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0081623 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jstager517477@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
Other providers in Greenville, OH
- Thomas Lee Snead II
- Laura Ann Sowers
- Speech Pathology Services
- Spirit Medical Transport, LLC
- Lauren Ashley Spoltman
- Jenette Marie Stark
- Taylor Staugler
- Amber Steiner
- Stephen Richard Stentzel
- Alexander Stephan
All providers in Greenville, OH · Medical Physician Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. 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.