ERICA LEIGH STANLEY CNP
NPI 1124694070
Nurse Practitioner - Family in Centerville, OH

Active since June 01, 2021PECOS EnrolledAccepts Medicare Assignment
94.5/100
CMS Quality Rating
2350 MIAMI VALLEY DR STE 500, CENTERVILLE, OH 45459(937) 293-1622(937) 245-6308 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2022, Jun 7, 2021, Jun 1, 2021 (3 updates tracked since 2021).

About Erica Leigh Stanley Cnp NPPES

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

ERICA LEIGH STANLEY CNP (NPI 1124694070) is an individual family provider in Centerville, Ohio, licensed in Ohio (APRN.CNP.0029006) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Englewood.

NPPES Registry Identity

NPI1124694070
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA LEIGH STANLEYCredential: CNP
Location Address2350 MIAMI VALLEY DR STE 500Centerville, OH 45459-4780
Mailing Address6680 Poe Ave Ste 200Dayton, OH 45414-2855 · (937) 280-8400
Fax(937) 245-6308
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 1, 2021
Last NPPES UpdateJanuary 7, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2022
NPI 1124694070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.0029006
2350 MIAMI VALLEY DR STE 500, Centerville, OH 45459

Secondary Practice Location 1

Location 19000 N Main St Ste 200Englewood, OH 45415-1165 · Phone (937) 293-1622 · Fax (937) 245-6308

Other Identifiers 1

Medicaid0448465OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Erica Leigh Stanley Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062813538
PECOS Enrollment IDI20210622003032
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
373 services336 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
367 services337 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
241 services214 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
209 services204 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
18 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.53
Promoting Interoperability100
Improvement Activities40
Cost99.14

Reported Quality Measures

Breast Cancer Screening
64%192 patients3/55-star benchmark: 93%
Cervical Cancer Screening
36%138 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
12%34 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
60%1,055 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
68%821 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
27%299 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
28%299 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,324 patients5/55-star benchmark: 100%
e-Prescribing
97%691 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
32%1,242 patients2/55-star benchmark: 100%
HIV Screening
17%701 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
61%1,458 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
98%1,343 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%714 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 395 patients
Patients screened: 100% · 395 patients
63%49 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%663 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%1,151 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 9% · 1,275 patients
Patients totalRate: 23% · 1,275 patients
24%1,275 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers16 claims1,350 services$5.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
2350 MIAMI VALLEY DR STE 500
CENTERVILLE, OH 45459
Urology
2350 MIAMI VALLEY DR STE 500
CENTERVILLE, OH 45459
Urology
2350 MIAMI VALLEY DR STE 500
CENTERVILLE, OH 45459
Nurse Practitioner (Family)
2350 MIAMI VALLEY DR STE 500
CENTERVILLE, OH 45459
Urology
2350 MIAMI VALLEY DR STE 500
CENTERVILLE, OH 45459
Nurse Practitioner (Family)
2350 MIAMI VALLEY DR STE 500
CENTERVILLE, OH 45459
Urology
2350 MIAMI VALLEY DR STE 500
CENTERVILLE, OH 45459
Physician Assistant
2350 MIAMI VALLEY DR STE 500
CENTERVILLE, OH 45459

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 Erica Stanley's NPI number?

The NPI number for Erica Stanley is 1124694070. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Erica Stanley located?

Erica Stanley practices at 2350 Miami Valley Dr Ste 500, Centerville, OH 45459. The listed phone number is (937) 293-1622.

What is Erica Stanley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erica Stanley enrolled in Medicare?

Yes. Erica Stanley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Erica Stanley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 2 other insurers list Erica Stanley 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.

Is Erica Stanley affiliated with any hospitals?

According to CMS data, Erica Stanley is affiliated with Miami Valley Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Erica Stanley was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.