STACEY MARDIS M.D.
NPI 1144532730
Emergency Medicine in Elyria, OH
About Stacey Mardis M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY MARDIS M.D. (NPI 1144532730) is an individual emergency medicine provider in Elyria, Ohio, licensed in Ohio (35.121170) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stacey Mardis M.d. 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.
Medicare Billing Reassignments
10Medicare enrollment records show Stacey Mardis reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elkin, NC 28621
- Reassigned Medicare billing, North Carolina enrollment
- 96 clinicians in this Medicare group
Eden, NC 27288
- Reassigned Medicare billing, North Carolina enrollment
- 53 clinicians in this Medicare group
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 719 clinicians in this Medicare group
Clemmons, NC 27012
- Reassigned Medicare billing, North Carolina enrollment
- 159 clinicians in this Medicare group
Kernersville, NC 27284
- Reassigned Medicare billing, North Carolina enrollment
- 158 clinicians in this Medicare group
Thomasville, NC 27360
- Reassigned Medicare billing, North Carolina enrollment
- 152 clinicians in this Medicare group
Albemarle, NC 28001
- Reassigned Medicare billing, North Carolina enrollment
- 144 clinicians in this Medicare group
Charlotte, NC 28215
- Reassigned Medicare billing, North Carolina enrollment
- 703 clinicians in this Medicare group
Dunn, NC 28334
- Reassigned Medicare billing, North Carolina enrollment
- 373 clinicians in this Medicare group
Bolivia, NC 28422
- Reassigned Medicare billing, North Carolina enrollment
- 128 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health Forsyth Medical Center
Acute Care Hospitals · Winston-Salem, NCNovant Health Thomasville Medical Center
Acute Care Hospitals · Thomasville, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mardis's NPI number?
The NPI number for Stacey Mardis is 1144532730. It was assigned to this individual provider in the NPPES registry on July 12, 2010.
Where is Stacey Mardis located?
Stacey Mardis practices at 630 E River St Department Of Emergency Medicine, Elyria, OH 44035. The listed phone number is (440) 329-7450.
What is Stacey Mardis's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Stacey Mardis enrolled in Medicare?
Yes. Stacey Mardis 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.
Which organizations bill Medicare for Stacey Mardis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Mardis reassigns Medicare benefits to 10 organizations: Yadkin Emergency Physicians, PLLC (Elkin, NC), Nc Emergency Physician Services, PLLC (Eden, NC), Novant Health Thomasville Medical Center, LLC (Winston Salem, NC), Tanglewood Park Physicians, PLLC (Clemmons, NC), Kernersville Emergency Group, PLLC (Kernersville, NC) and 5 more organizations, listed in the Medicare section above. Each 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 Mardis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Mardis accept?
Health plans from Oscar Health, Oscar Health Plan of North Carolina, Inc and Oscar Insurance Company list Stacey Mardis 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 Stacey Mardis affiliated with any hospitals?
According to CMS data, Stacey Mardis is affiliated with Novant Health Forsyth Medical Center and Novant Health Thomasville Medical Center.
When was this NPI record last updated?
The NPPES record for Stacey Mardis was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Stacey Mardis, M.D. · NPI 1144532730
Emergency Medicine physician in Elyria, Ohio. Individual provider, active in the CMS NPPES registry since July 12, 2010.
## Identity
- **NPI:** 1144532730 (Entity type: Individual)
- **Enumerated:** July 12, 2010
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 35.121170 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 630 E RIVER ST, DEPARTMENT OF EMERGENCY MEDICINE, Elyria, OH 44035-5902
- **Phone:** (440) 329-7450
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Yadkin Emergency Physicians, PLLC (NPI 1417443771, Elkin, NC); Nc Emergency Physician Services, PLLC (NPI 1518374800, Eden, NC); Novant Health Thomasville Medical Center, LLC (NPI 1083338677, Winston Salem, NC); Tanglewood Park Physicians, PLLC (NPI 1093286379, Clemmons, NC); Kernersville Emergency Group, PLLC (NPI 1750852034, Kernersville, NC); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** July 1, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1144532730) · Data from the CMS NPPES public registry.