NPIMap

Individual provider Active NPI

Clair Lea McStacy, C.N.M

  • Advanced Practice Midwife
  • Bedford, VA
National Provider Identifier
1972590941
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0001163577 Issued in VA
Practice address
600 Bedford Ave
Bedford, VA 24523-1966
Phone
(540) 586-7952
Fax
(540) 586-7950
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 0001163577 VA Primary

Addresses

Primary practice location

600 Bedford Ave
Bedford, VA 24523-1966

Mailing address

600 Bedford Ave
Bedford, VA 24523-1966
Phone (540) 586-7952

Other identifiers 2

IdentifierTypeStateIssuer
010143187MedicaidVA
010166560MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051025000194 VA Practitioner - Certified Nurse Midwife (CNM) 1951328491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

1901 Thomson Dr
Lynchburg, VA 24501-1026
Phone (434) 200-3908

Hospital & facility affiliations

  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001163577VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Health Professional Services, LLC CurrentSince Feb 8, 2013 Accepting new patients
Centra Medical Group, LLC CurrentSince Feb 8, 2013 Accepting new patients
Centra Medical Group, LLC PastSince Oct 1, 2023 Accepting new patients

Locations

600 Bedford Ave
Bedford, VA 24523
Phone (434) 385-8948

1613 Oakwood St
Ste 201
Bedford, VA 24523
Phone (540) 586-4723

2007 Graves Mill Rd
Forest, VA 24551
Phone (434) 385-8948

905 Lakeside Dr
#A
Lynchburg, VA 24501
Phone (434) 385-8948

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

1901 Thomson Dr
Lynchburg, VA 24501
Phone (434) 200-3908

Organizations & group practices 3

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 7

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1972590941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BEDFORD AVE",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231966",
            "telephone_number": "540-586-7952",
            "fax_number": "540-586-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BEDFORD AVE",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231966",
            "telephone_number": "540-586-7952",
            "fax_number": "540-586-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSTACY",
        "first_name": "CLAIR",
        "middle_name": "LEA",
        "credential": "C.N.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0001163577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010143187",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010166560",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

Verify at the official NPI Registry.