Individual provider Active NPI

Stacy L Saffell, CRNP

  • Women's Health Nurse Practitioner
  • Akron, OH
National Provider Identifier
1861676611
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN235122NP04710 Issued in OH
Practice address
1 Park West Blvd.
Suite 200
Akron, OH 44320-4218
Phone
(330) 869-9777
Fax
(330) 865-6011
NPI assigned
Dec 28, 2007
Last updated
Mar 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NP-04710 OH
Women's Health Nurse Practitioner 363LW0102X RN235122NP04710 OH Primary

Addresses

Primary practice location

1 Park West Blvd.
Suite 200
Akron, OH 44320-4218

Mailing address

1 Park West Blvd.
Suite 200
Akron, OH 44320-4218
Phone (330) 869-9777

Other identifiers 1

IdentifierTypeStateIssuer
NP-04710OtherOHNURSE PRACTITIONER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180126002223 OH Practitioner - Nurse Practitioner 8729117791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

195 Wadsworth Rd
Wadsworth, OH 44281-9504
Phone (330) 374-1255

201 5TH St NE
Barberton, OH 44203-3017

525 E Market St
Akron, OH 44304-1619

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-04710OHMDWomen's Health Nurse Practitioner
RN235122NP04710OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Dec 11, 2017 Accepting new patients
Summa Physicians LLC CurrentSince Dec 11, 2017 Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

1 Park West Blvd
Ste 200
Akron, OH 44320
Phone (330) 835-9158

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

1463 Canton Rd
Akron, OH 44312
Phone (330) 784-5406

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

201 5th St NE
Ste 6
Barberton, OH 44203
Phone (330) 745-3080

1700 Boettler Rd
Ste 225
Green, OH 44685
Phone (330) 899-9696

195 Wadsworth Rd
Ste 301
Wadsworth, OH 44281
Phone (330) 331-1810

Interoperability endpoints

  • Direct secure messaging: ssaffell19537@summahealth-direct.org

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, 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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1861676611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK WEST BLVD.",
            "address_2": "SUITE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204218",
            "telephone_number": "330-869-9777",
            "fax_number": "330-865-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK WEST BLVD.",
            "address_2": "SUITE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204218",
            "telephone_number": "330-869-9777",
            "fax_number": "330-865-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFELL",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "NP-04710",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "RN235122NP04710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "NP-04710",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.