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STACY I SUMMA PA C
NPI 1295722478
Physician Assistant in Nampa, ID

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
4424 E FLAMINGO AVE STE 110, NAMPA, ID 83687(208) 302-3200(208) 302-3255 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2023, Mar 10, 2023, Mar 29, 2018 (3 updates tracked since 2018).

About Stacy I Summa Pa C NPPES

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

STACY I SUMMA PA C (NPI 1295722478) is an individual physician assistant in Nampa, Idaho, licensed in Idaho (PA-1787) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1295722478
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACY I SUMMACredential: PA C
Location Address4424 E FLAMINGO AVE STE 110Nampa, ID 83687-9291
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180
Phone(208) 302-3200
Fax(208) 302-3255
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2002
Enumeration DateOctober 3, 2005
Last NPPES UpdateFebruary 21, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2024
✔ NPI 1295722478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in ID · PA-1787✔ Licensed in CA · PA16583
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA-1787 (ID)
4424 E FLAMINGO AVE STE 110, Nampa, ID 83687
Open in Google Maps ↗

Other Names 1

Former Name (1)Stacy I Bunten

Secondary Practice Location 1

Location 1875 S Vanguard Way Ste 200Meridian, ID 83642-8542 · Phone (208) 463-3219 · Fax (208) 463-3055

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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

Stacy I Summa Pa C 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 ID7517853146
PECOS Enrollment IDI20191226001531
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.

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.
39 services37 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.
31 services28 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
30 services18 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
20 services18 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
19 services16 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.
19 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83687 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

ERIC CHRISTOPHER MOSS PA
Physician Assistant
4424 E FLAMINGO AVE STE 110
NAMPA, ID 83687
Canyon County (208) 302-3200
JAMES MILLARD WALKER PA-C
Physician Assistant
4424 E FLAMINGO AVE STE 110
NAMPA, ID 83687
Canyon County (208) 302-3200
SAMANTHA PATERSON PA
Physician Assistant
4424 E FLAMINGO AVE STE 110
NAMPA, ID 83687
Canyon County (208) 302-3000
BRANDYN REINHART
Physician Assistant
4424 E FLAMINGO AVE STE 110
NAMPA, ID 83687
Canyon County (208) 302-3200
ANGEL LEGARE PA-C
Physician Assistant
4424 E FLAMINGO AVE STE 110
NAMPA, ID 83687
Canyon County (208) 302-3200
AARON HOBLET M.D.
Orthopaedic Surgery (Hand Surgery)
4424 E FLAMINGO AVE STE 110
NAMPA, ID 83687
Canyon County (208) 302-3200

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 Stacy Summa's NPI number?

The NPI number for Stacy Summa is 1295722478. It was assigned to this individual provider in the NPPES registry on October 3, 2005. The provider is also known as Stacy I Bunten.

Where is Stacy Summa located?

Stacy Summa practices at 4424 E Flamingo Ave Ste 110, Nampa, ID 83687. The listed phone number is (208) 302-3200.

What is Stacy Summa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stacy Summa enrolled in Medicare?

Yes. Stacy Summa 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 Stacy Summa accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Stacy Summa 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 Stacy Summa affiliated with any hospitals?

According to CMS data, Stacy Summa is affiliated with Saint Alphonsus Regional Medical Center and Saint Alphonsus Medical Center - Nampa.

When was this NPI record last updated?

The NPPES record for Stacy Summa was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.