Individual provider Active NPI

Stephanie Maggs, APRN

  • Family Nurse Practitioner
  • Wakefield, RI
National Provider Identifier
1972163137
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN02075 Issued in RI
Practice address
100 Kenyon Ave
Wakefield, RI 02879-4216
Phone
(401) 782-8000
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN02075 RI Primary

Addresses

Primary practice location

100 Kenyon Ave
Wakefield, RI 02879-4216

Mailing address

PO Box 229
Wakefield, RI 02880-0229
Phone (401) 788-8757

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191121002461 RI Practitioner - Nurse Practitioner 5193157675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Spring Health Care Management IncGroup PAC ID 4688661127, 136 clinicians

Practice addresses (Care Compare)

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 782-8000

70 Kenyon Ave
Unit 211
Wakefield, RI 02879-4241
Phone (401) 789-8543

Hospital & facility affiliations

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc. Family CurrentSince Oct 8, 2019 Accepting new patients
Silver Spring Health Care Management, Inc. Family CurrentSince Oct 8, 2019 Accepting new patients
Silver Spring Health Care Management, Inc Past Accepting new patients

Locations

70 Kenyon Ave
Unit 211
Wakefield, RI 02879
Phone (401) 789-8543

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1972163137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028800229",
            "telephone_number": "401-788-8757",
            "fax_number": "401-782-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KENYON AVE",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794216",
            "telephone_number": "401-782-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGS",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.