Individual provider Active NPI

Stacey M Riley, PA-C

  • Physician Assistant
  • Somersworth, NH
National Provider Identifier
1790754364
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0721 Issued in NH
Practice address
7 Marsh Brook Dr Ste 205
Somersworth, NH 03878-6523
Phone
(603) 742-2007
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0721 NH Primary

Addresses

Primary practice location

7 Marsh Brook Dr Ste 205
Somersworth, NH 03878-6523

Mailing address

PO Box 412503
Boston, MA 02241-2503

Other identifiers 1

IdentifierTypeStateIssuer
3079348MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20090526000105 NH Practitioner - Physician Assistant 5496804361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Tufts University School of Medicine, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

65 Calef Hwy
Lee, NH 03861-6703

67 Corporate Dr
Portsmouth, NH 03801-2847

7 Marsh Brook Dr
Somersworth, NH 03878-6523
Phone (603) 742-4222

73 Corporate Dr
Portsmouth, NH 03801-2847
Phone (603) 610-8075

789 Central Ave
Dover, NH 03820-2526

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.34 of 100Reported as group
Quality
40.92
Improvement activities
40
Cost
63.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0721NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Apr 7, 2025 Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients

Locations

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

7 Marsh Brook Dr
Ste 100
Somersworth, NH 03878

7 Marsh Brook Dr
Ste 205
Somersworth, NH 03878
Phone (603) 740-6510

Interoperability endpoints

  • Direct secure messaging: riley.stacey.wdh@direct.partners.masshiway.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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 5

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1790754364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MARSH BROOK DR STE 205",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038786523",
            "telephone_number": "603-742-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "STACEY",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079348",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

Verify at the official NPI Registry.