Stacey Wasem, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN.CNP.026483 Issued in OH

Practice address

236 3Rd St SW
Canton, OH 44702-1607

Phone

(330) 754-4431

Fax

(330) 244-8839

NPI assigned

Mar 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Response Nurse Practitioners, LLCGroup PAC ID 8527349992, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.74 of 100Reported as group

Quality

80.95

Improvement activities

40

Cost

84.55

Merit-based Incentive Payment System (MIPS)

Final score

90.8 of 100Reported as group

Quality

63.89

Promoting interoperability

99

Improvement activities

40

Cost

72.93

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Fast Response Nurse Practitioners, LLC

  • Gerontology Nurse Practitioner
  • Lorain, OH
  • NPI 1720530181
  Medicare reassignment Care Compare group NPD
• Pinnacle Care Providers, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1578799417

  Gerontology

  Medicare reassignment NPD
• Pinnacle Wound Providers, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1053193292
  Medicare reassignment NPD
• Proxy Healthcare LLC

  • Home Health Agency
  • Uniontown, OH
  • NPI 1396582730
  Medicare reassignment NPD
• Skill Doc 101, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1043647803
  Medicare reassignment NPD
• Fast Response Wound Solutions LLC

  • Registered Nurse
  • Lorain, OH
  • NPI 1710844147
  Medicare reassignment
• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312
  NPD
• Fast Response Nurse Practitioners LLC

  • Gerontology Nurse Practitioner
  • Okatie, SC
  • NPI 1932863651
  NPD

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1831724640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASEM",
        "first_name": "STACEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.026483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javisen Michael Warner
• Laura Elizabeth Warner, M.A., CCC-A
• Lakisha Warren
• Sherry Warren, LSW
• Daniel Wasdahl, MD
• Albert Leonard Washington
• Cedric Allen Washington II
• Derleshia Lachell Washington, 7611293 IN- PROVIDER
• William J Washington, MD
• Wanda Bernadette Waters, BSN, RN

• Gerontology Nurse Practitioner in Canton, OH
• Providers in Canton, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.

Verify at the official NPI Registry.