Stacie Marie Rickley, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

MW010546 Issued in PA

Practice address

1265 New Germany Rd
Summerhill, PA 15958-5301

Phone

(814) 244-2939

NPI assigned

May 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srickley9095@direct.conemaugh.org

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.

• DLP Conemaugh Physician Practices LLC

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905
  Medicare reassignment Care Compare group NPD
• DLP Conemaugh Memorial Medical Center LLC

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1669873881
  Medicare reassignment NPD
• DLP Conemaugh Memorial Medical Center LLC

  • Registered Dietitian
  • Johnstown, PA
  • NPI 1760154975
  NPD
• DLP Conemaugh Memorial Medical Center LLC

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  NPD
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609
  NPD
• DLP Conemaugh Physician Practices LLC

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1861808909
  NPD
• Conemaugh Health Initiatives

  • Plastic Surgery Physician
  • Johnstown, PA
  • NPI 1073516720
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Conemaugh Memorial Medical Center LLC

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  Care Compare affiliation

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1851957948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 FRANKLIN STREET",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054109",
            "telephone_number": "814-534-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 NEW GERMANY RD",
            "city": "SUMMERHILL",
            "state": "PA",
            "postal_code": "159585301",
            "telephone_number": "814-244-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKLEY",
        "first_name": "STACIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "RN547989",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srickley@conemaugh.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Home address and work e-mail",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Summerhill",
            "address_1": "1265 New Germany Rd",
            "city": "Summerhill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159585301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leighann Leckey, PA
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• Alyssa M Madigan, M.S, LPC
• Mathur Health Care
• Haleigh V McCall
• Patricia Sheredy, LPN
• Tru HRT Center PLLC
• Amy Christine Van Kleunen, PT
• Josilyn Ann Wehner, PA-C

• Advanced Practice Midwife in Summerhill, PA
• Providers in Summerhill, PA by specialty
• Advanced Practice Midwife in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.