Individual provider Active NPI

Stacy M Zarzuela, PA

  • Physician Assistant
  • Salisbury, MD
National Provider Identifier
1912974635
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C02917 Issued in MD
Practice address
6503 Deer Pointe Dr Ste a
Salisbury, MD 21804-1674
Phone
(855) 527-7246
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C02917 MD Primary

Addresses

Primary practice location

6503 Deer Pointe Dr Ste a
Salisbury, MD 21804-1674

Mailing address

9601 Pulaski Park Dr
Suite 416
Baltimore, MD 21220-1409
Phone (410) 933-5678

Other practice location 1

4167 Patterson Ave
Baltimore, MD 21215-2221
Phone (410) 764-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20060307000798 MD Practitioner - Physician Assistant 0648287201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain Management Specialists LLCGroup PAC ID 3173513959, shared by 34 NPIs, 76 clinicians

Practice addresses (Care Compare)

6503 Deer Pointe Dr
Suite a
Salisbury, MD 21804-1674
Phone (855) 527-7246

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061

Merit-based Incentive Payment System (MIPS)

Final score
77.66 of 100Reported as individual
Quality
43.16
Promoting interoperability
100
Improvement activities
40
Cost
72.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC CurrentSince Feb 7, 2023 Accepting new patients
Advanced Pain Management Specialists, LLC Physician Assistant CurrentSince Feb 7, 2023 Accepting new patients
Advanced Pain Management Specialists, LLC CurrentSince Feb 7, 2023 Accepting new patients
Advanced Sleep Disorders Center LLC Past Accepting new patients

Locations

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

598 Cynwood Dr
Ste 105
Easton, MD 21601
Phone (410) 822-1221

7920 McDonogh Rd
Ste 204
Owings Mills, MD 21117
Phone (410) 768-6300

6503 Deer Pointe Dr
Ste A
Salisbury, MD 21804
Phone (410) 341-9002

Interoperability endpoints

  • Direct secure messaging: stacy.zarzuela.1@11679.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1912974635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 PULASKI PARK DR",
            "address_2": "SUITE 416",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212201409",
            "telephone_number": "410-933-5678",
            "fax_number": "410-933-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 DEER POINTE DR STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041674",
            "telephone_number": "855-527-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4167 Patterson Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212152221",
            "country_code": "US",
            "telephone_number": "410-764-2111",
            "fax_number": "410-764-9947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZARZUELA",
        "first_name": "STACY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C02917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.