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DR. STACEY KIM RAYA DC
NPI 1073502134
Chiropractor in Southington, CT

Active since October 20, 2005
200 QUEEN ST, SOUTHINGTON, CT 06489(860) 621-2225(860) 621-2868 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Stacey Kim Raya Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACEY KIM RAYA DC (NPI 1073502134) is an individual chiropractor in Southington, Connecticut, licensed in Connecticut (000938) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1073502134
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. STACEY KIM RAYACredential: DC
Location Address200 QUEEN STSouthington, CT 06489-1901
Mailing Address200 Queen StSouthington, CT 06489-1901 · (860) 621-2225 · Fax (860) 621-2868
Phone(860) 621-2225
Fax(860) 621-2868
Sole ProprietorNo
Enumeration DateOctober 20, 2005
Last NPPES UpdateSeptember 10, 2012
✔ NPI 1073502134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CT · 000938
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
200 QUEEN ST, Southington, CT 06489
Open in Google Maps ↗

Other Identifiers 7

Other954United Healthcare
Other0V1745CT · Landmark
Other050000938CT01CT · Blue Cross
OtherP414597Oxford
Medicare UPINU19274
Medicare ID-Type Unspecified350000609CT
Other0124979Aetna/ushealthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacey Kim Raya Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Stacey Raya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Back Center
Same address
Chiropractor
200 QUEEN ST
Southington, CT 06489
  • Reassigned Medicare billing, Connecticut enrollment
  • 8 clinicians in this Medicare group
NPI 1043486947 (860) 621-2225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED BACK CENTER
Chiropractor
200 QUEEN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 621-2225
DR. JEANA FORANT DC
Chiropractor
200 QUEEN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 621-2225
DR. HASAN ADNAN AWAN DC
Chiropractor
200 QUEEN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 621-2225
SAXON KANE IRELAND DC
Chiropractor
200 QUEEN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 621-2225
AUSTIN LAWRENCE D.C.
Chiropractor
200 QUEEN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 621-2225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Raya's NPI number?

The NPI number for Stacey Raya is 1073502134. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Stacey Raya located?

Stacey Raya practices at 200 Queen St, Southington, CT 06489. The listed phone number is (860) 621-2225.

What is Stacey Raya's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Stacey Raya enrolled in Medicare?

Yes. Stacey Raya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Raya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Raya reassigns Medicare benefits to Advanced Back Center (Southington, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Raya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Raya accept?

Health plans from Anthem Blue Cross and Blue Shield list Stacey Raya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Raya was last updated on September 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.