Individual provider Active NPI

John Jay Stahlman, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1811006273
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
950004 Issued in NC
Practice address
31 College PL Ste B100
Asheville, NC 28801-2400
Phone
(828) 254-5008
Fax
(828) 254-5808
NPI assigned
Aug 30, 2006
Last updated
Oct 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 950004 NC Primary

Addresses

Primary practice location

31 College PL Ste B100
Asheville, NC 28801-2400

Mailing address

31 College PL Ste B100
Asheville, NC 28801-2400
Phone (828) 254-5008

Other identifiers 2

IdentifierTypeStateIssuer
136JHOtherNCNVML BCBSNC GRP # 015HF
6005015MedicaidNC

Other names 1

  • Jack Stahlman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040614000638 NC Practitioner - Nurse Practitioner 9436133097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rha Health Services IncGroup PAC ID 8426196072, 55 clinicians

Practice addresses (Care Compare)

486 Spaulding Rd
B
Marion, NC 28752-5212
Phone (828) 652-2919

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
950004NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RH a Health Services Inc CurrentSince Jul 6, 2017 Accepting new patients
Rha Health Services, Inc CurrentSince Jul 6, 2017 Accepting new patients
October Road Inc. CurrentSince Feb 1, 2009 Accepting new patients
October Road Inc CurrentSince Feb 1, 2009 Accepting new patients
Rha Health Services Inc Current Accepting new patients
New Vistas-Mountain Laurel, Inc. Past Accepting new patients
Hospice & Palliative Care of the Blue Ridge Inc PastSince Jul 31, 2017 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

119 Tunnel Rd
Ste D
Asheville, NC 28805
Phone (888) 201-5086

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

486 Spaulding Rd
#B
Marion, NC 28752
Phone (828) 652-2919

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1811006273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 COLLEGE PL STE B100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012400",
            "telephone_number": "828-254-5008",
            "fax_number": "828-254-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 COLLEGE PL STE B100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012400",
            "telephone_number": "828-254-5008",
            "fax_number": "828-254-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHLMAN",
        "first_name": "JOHN",
        "middle_name": "JAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "950004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVML BCBSNC GRP # 015HF",
            "identifier": "136JH",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005015",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "STAHLMAN",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.