PHYLLIS C STACKHOUSE CRNP
NPI 1215056718
Nurse Practitioner in State College, PA
NPI Status: Active since March 28, 2007
Contact Information
476 ROLLING RIDGE DR
SUITE 101
STATE COLLEGE, PA
ZIP 16801
Phone: (814) 689-4980
Fax: (814) 689-4990
- Individual
- Female
- Nurse Practitioner
About PHYLLIS STACKHOUSE
This page provides the complete NPI Profile along with additional information for Phyllis Stackhouse, a provider established in State College, Pennsylvania with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1215056718 assigned on March 2007. The practitioner's primary taxonomy code is 363L00000X with license number SP-001330-D (PA). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1215056718
- Provider Name
- PHYLLIS C STACKHOUSE CRNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 476 ROLLING RIDGE DR SUITE 101 STATE COLLEGE, PA 16801
- Location Phone
- (814) 689-4980
- Location Fax
- (814) 689-4990
- Mailing Address
- 476 ROLLING RIDGE DR SUITE 101 STATE COLLEGE, PA 16801
- Mailing Phone
- (814) 689-4980
- Mailing Fax
- (814) 689-4990
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-28-2007
- Last Update Date
- 12-15-2016
- Code Navigator
A nurse practitioner (NP) like Phyllis Stackhouse is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- SP-001330-D
- License State
- PA
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | RN-204012-L (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103171579 | MEDICAID (05) | PA |
Reviews for PHYLLIS C STACKHOUSE CRNP
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215056718, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
STATE COLLEGE, PA 16801
STATE COLLEGE, PA 16801
STATE COLLEGE, PA 16801
STATE COLLEGE, PA 16801
STATE COLLEGE, PA 16801
STATE COLLEGE, PA 16801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215056718, enumerated as an "individual" on March 28, 2007.
The provider is located at 476 ROLLING RIDGE DR SUITE 101 STATE COLLEGE, PA 16801 and the phone number is (814) 689-4980.
Nurse Practitioner with taxonomy code 363L00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
