Individual provider Active NPI

Stacy Ramoa, AGACNP-BC, AGPCNP-BC

  • Acute Care Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1790197234
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN2282743 Issued in MA
Practice address
830 Oak St Ste 200W
Brockton, MA 02301-1191
Phone
(774) 480-1600
Fax
(774) 480-1625
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN2282743 MA Primary
Women's Health Nurse Practitioner 363LW0102X RN2282743 MA
Primary Care Nurse Practitioner 363LP2300X RN2282743 MA

Addresses

Primary practice location

830 Oak St Ste 200W
Brockton, MA 02301-1191

Mailing address

830 Oak St Ste 200W
Brockton, MA 02301-1191
Phone (774) 480-1600

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
I20251201001654 MA Practitioner - Nurse Practitioner 9830413426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqeel M Siddiqui MD LTDGroup PAC ID 8325290869, 3 clinicians

Practice addresses (Care Compare)

830 Oak St
Suite 200W
Brockton, MA 02301-1191
Phone (774) 480-1600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2282743MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aqeel M Siddiqui MD LTD CurrentSince Nov 17, 2025 Accepting new patients

Locations

830 Oak St
Ste 200W
Brockton, MA 02301
Phone (508) 586-7334

Interoperability endpoints

  • Direct secure messaging: ssoares43650@direct.med.miami.edu
  • Direct secure messaging: stacy.ramoa.1@32236.direct.athenahealth.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.

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1790197234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 OAK ST STE 200W",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011191",
            "telephone_number": "774-480-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OAK ST STE 200W",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011191",
            "telephone_number": "774-480-1600",
            "fax_number": "774-480-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOA",
        "first_name": "STACY",
        "credential": "AGACNP-BC, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN2282743",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2282743",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2282743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.