Active NPI
Stacy Cwach
- Physician Assistant
- Pierre, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1052
- Practice address
- 100 Mac LN
Pierre, SD 57501-3391 - Phone
- (605) 224-5901
- NPI assigned
- Sep 21, 2016
- Last updated
- Sep 21, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1052 | SD | Primary |
Addresses
Primary practice location
100 Mac LN
Pierre, SD 57501-3391
Mailing address
208 S Harrison Ave
Pierre, SD 57501-3655
Phone (605) 295-0252
Other names 1
- Stacy Zeigler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- 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
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 E Sioux Ave
Pierre, SD 57501-3323
Phone (605) 224-5901
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1052 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera St Marys | Current | Accepting new patients |
Locations
100 Mac Ln
Pierre, SD 57501
Phone (605) 224-5901
Interoperability endpoints
- stacy.cwach@avera.sdhealthlink.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Avera St Marys Hospital ER CRNA
- Emergency Medicine Physician
- Pierre, SD
- NPI 1073305496
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Avera Pierre Clinic
- Multi-Specialty Clinic/Center
- Pierre, SD
- NPI 1720326713
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1790233591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 S HARRISON AVE",
"city": "PIERRE",
"state": "SD",
"postal_code": "575013655",
"telephone_number": "605-295-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAC LN",
"city": "PIERRE",
"state": "SD",
"postal_code": "575013391",
"telephone_number": "605-224-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CWACH",
"first_name": "STACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "1052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "ZEIGLER",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pierre, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.