Individual provider Active NPI

Stacey Erin McNulty

  • Audiologist
  • Englewood, CO
National Provider Identifier
1780964049
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
738 Issued in CO
Practice address
401 W Hampden PL Ste 240
Englewood, CO 80110-2471
Phone
(303) 788-7880
Fax
(303) 788-7883
NPI assigned
Aug 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000595 MI
Audiologist 231H00000X 738 CO Primary

Addresses

Primary practice location

401 W Hampden PL Ste 240
Englewood, CO 80110-2471

Mailing address

401 W Hampden PL Ste 240
Englewood, CO 80110-2471
Phone (303) 788-7880

Other practice location 1

30055 Northwestern Hwy
Suite 101
Farmington Hills, MI 48334-3230
Phone (248) 865-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150522000111 CO Practitioner - Qualified Audiologist 6709030299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denver Ear AssociatesGroup PAC ID 6507756236, 7 clinicians

Practice addresses (Care Compare)

701 E Hampden Ave
Suite 415
Englewood, CO 80113-2759
Phone (303) 788-7880

Merit-based Incentive Payment System (MIPS)

Final score
74.77 of 100Reported as group
Quality
76.88
Improvement activities
40
Cost
46.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
738COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Ear Associates CurrentSince May 6, 2015 Accepting new patients
Michigan Ear Institute PLLC Past Accepting new patients

Locations

401 W Hampden Pl
Ste 240
Englewood, CO 80110
Phone (303) 788-7880

701 E Hampden Ave
Ste 415
Englewood, CO 80113
Phone (303) 597-1724

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21058/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780964049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W HAMPDEN PL STE 240",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102471",
            "telephone_number": "303-788-7880",
            "fax_number": "303-788-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W HAMPDEN PL STE 240",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102471",
            "telephone_number": "303-788-7880",
            "fax_number": "303-788-7883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30055 Northwestern Hwy",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483343230",
            "country_code": "US",
            "telephone_number": "248-865-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "STACEY",
        "middle_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000595",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.