Nancy Staley, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00286 Issued in RI

Practice address

55 Beach St
Westerly, RI 02891-2728

Phone

(401) 475-9140

Fax

(401) 475-9143

NPI assigned

Apr 9, 2006

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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in RI

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

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert K Dyer MD Dermatology LLCGroup PAC ID 8123290491, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
• Westerly Hospital Hospital, Westerly, RI, CCN 410013

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Robert K Dyer MD Dermatology LLC

  • Dermatology Physician
  • East Greenwich, RI
  • NPI 1528348521
  Medicare reassignment Care Compare group
• South County Family Medicine Inc.

  • Family Medicine Physician
  • Hope Valley, RI
  • NPI 1225041064
  NPD (past)

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

• LMW Healthcare Inc.

  • General Acute Care Hospital
  • Westerly, RI
  • NPI 1447595368
  Care Compare affiliation
• South County Hospital Healthcare System

  • General Acute Care Hospital
  • Wakefield, RI
  • NPI 1952366106
  Care Compare affiliation

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

{
    "created_epoch": "1144540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1891758181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CRESTVIEW DR",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912939",
            "telephone_number": "508-832-7118",
            "fax_number": "508-832-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BEACH ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912728",
            "telephone_number": "401-475-9140",
            "fax_number": "401-475-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALEY",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-09",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA00286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RI",
            "identifier": "0000027594",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP RI",
            "identifier": "411588",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004837",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM CT",
            "identifier": "290000286RI01",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "200286",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Spivey-Rachlin, LICSW
• Roberta W Sposato, RPH
• Vindhya Bharathi Sriramoju, MD
• Kerri St. Denis
• Robert B Stadelmann, DMD
• Sarah Staples
• Amy Ann Stasko, RN
• Eugene E Stec, MD
• Erik Mark Sterling
• Russell Drew Stokes, MD

• Medical Physician Assistant in Westerly, RI
• Providers in Westerly, RI by specialty
• Medical Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.