Stacey Nichole Mills (NPI# 1740611920, PAC ID# 1658695960) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1740611920 |
| PAC ID by PECOS | 1658695960 |
| Professional Enrollment ID | I20150114002466 |
| Full Name | Stacey Nichole Mills |
| Organization Legal Name | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
| Address |
461 Schoolview St Elizabeth WV 21643 |
| Phone Number | 3042753117 |
| Gender | F |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7810806577 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 511303 | MINNIE HAMILTON HEALTH SYSTEM |
| 510058 | CAMDEN CLARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 461 Schoolview St, Elizabeth, WV 21643 | 3042753117 | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
| 2610 Camden Ave, Parkersburg, WV 26101-5652 | 3049173733 | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
| 3705 Emerson Ave, Parkersburg, WV 26104-1118 | 3049173733 | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
| 562 Charleston Dr, Ripley, WV 25271-1533 | 3043727341 | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
| Organization Legal Name | WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Junetta A Maynard | Nurse Practitioner | Wirt County Health Services Association, Inc | 920 Elm St, Racine, OH 45771-8902 |
| Heather J Kay | Nurse Practitioner | Wirt County Health Services Association, Inc | 2610 Camden Ave, Parkersburg, WV 26101-5652 |
| Murrita Bolinger | Nurse Practitioner | Wirt County Health Services Association, Inc | 461 Schoolview St, Elizabeth, WV 21643 |
| Timothy P Metzger | Family Medicine | Wirt County Health Services Association, Inc | 562 Charleston Dr, Ripley, WV 25271-1533 |
| Kimberly A Jividen | Nurse Practitioner | Wirt County Health Services Association, Inc | 920 Elm St, Racine, OH 45771-8902 |
| Cherrie Cowan | Nurse Practitioner | Wirt County Health Services Association, Inc | 2610 Camden Ave, Parkersburg, WV 26101-5652 |
| Jessica Elaine Wooten | Nurse Practitioner | Wirt County Health Services Association, Inc | 461 Schoolview St, Elizabeth, WV 21643 |
| Amanda R Lynch | Nurse Practitioner | Wirt County Health Services Association, Inc | 2610 Camden Ave, Parkersburg, WV 26101-5652 |
| Miranda S Boso | Nurse Practitioner | Wirt County Health Services Association, Inc | 2610 Camden Ave, Parkersburg, WV 26101-5652 |
| Sireesha Dasari | Family Medicine | Wirt County Health Services Association, Inc | 2610 Camden Ave, Parkersburg, WV 26101-5652 |
| Street Address |
461 SCHOOLVIEW ST |
| City | ELIZABETH |
| State | WV |
| Zip | 21643 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Murrita Bolinger | Nurse Practitioner | Wirt County Health Services Association, Inc | 461 Schoolview St, Elizabeth, WV 21643 |
| Jessica Elaine Wooten | Nurse Practitioner | Wirt County Health Services Association, Inc | 461 Schoolview St, Elizabeth, WV 21643 |
| Bonnie Heather Templeton | Family Medicine | Wirt County Health Services Association, Inc | 461 Schoolview St, Elizabeth, WV 21643 |
| Ruth A Full | Physician Assistant | Wirt County Health Services Association, Inc | 461 Schoolview St, Elizabeth, WV 21643 |
| Jennifer Lea Huffman | Nurse Practitioner | Wirt County Health Services Association, Inc | 461 Schoolview St, Elizabeth, WV 21643 |
| City | ELIZABETH |
| Zip Code | 21643 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ELIZABETH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stacey Nichole Mills.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.