STACI FOGLIO NP-C
NPI 1366918807
Nurse Practitioner - Family in Crown Point, IN

Active since October 23, 2018PECOS EnrolledAccepts Medicare Assignment
57.73/100
CMS Quality Rating
300 N MAIN ST STE D, CROWN POINT, IN 46307(219) 663-4888 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2021, Mar 23, 2019, Oct 23, 2018 (3 updates tracked since 2018).

About Staci Foglio Np-c NPPES

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

STACI FOGLIO NP-C (NPI 1366918807) is an individual family provider in Crown Point, Indiana, licensed in Indiana (71008656A) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366918807
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACI FOGLIOCredential: NP-C
Location Address300 N MAIN ST STE DCrown Point, IN 46307-3281
Mailing Address300 N Main St Ste DCrown Point, IN 46307-3281 · (219) 663-4888
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 23, 2018
Last NPPES UpdateJune 29, 20213 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
NPI 1366918807 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 IN · 71008656A
300 N MAIN ST STE D, Crown Point, IN 46307

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

Staci Foglio Np-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 ID5698014025
PECOS Enrollment IDI20190301002502
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 16

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,058 services149 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
262 services89 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
202 services77 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
182 services86 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
137 services86 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
119 services54 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

57.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.19
Promoting Interoperability0
Improvement Activities40
Cost25.6

Reported Quality Measures

Controlling High Blood Pressure
74%35 patients4/55-star benchmark: 91%
Dementia: Cognitive Assessment
3%40 patients
Documentation of Current Medications in the Medical Record
98%631 patients4/55-star benchmark: 100%
e-Prescribing
97%143 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
29%129 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%100 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
31%70 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%133 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 60% · 129 patients
59%129 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 129 patients
Patients totalRate: 0% · 129 patients
0%129 patients5/55-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 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers14 claims32 services$4.76 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone A4315
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$25.43 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier13 claims152 services$2.14 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier19 claims336 services$3.12 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier13 claims126 services$5.98 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$34.31 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 16

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

Nurse Practitioner (Family)
300 N MAIN ST STE D
CROWN POINT, IN 46307
Nurse Practitioner (Family)
300 N MAIN ST STE D
CROWN POINT, IN 46307
Nurse Practitioner (Family)
300 N MAIN ST STE D
CROWN POINT, IN 46307
Nurse Practitioner (Gerontology)
300 N MAIN ST STE D
CROWN POINT, IN 46307
Internal Medicine
300 N MAIN ST STE D
CROWN POINT, IN 46307
Internal Medicine (Geriatric Medicine)
300 N MAIN ST STE D
CROWN POINT, IN 46307
Nurse Practitioner (Family)
300 N MAIN ST STE D
CROWN POINT, IN 46307
Nurse Practitioner (Family)
300 N MAIN ST STE D
CROWN POINT, IN 46307

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 Staci Foglio's NPI number?

The NPI number for Staci Foglio is 1366918807. It was assigned to this individual provider in the NPPES registry on October 23, 2018.

Where is Staci Foglio located?

Staci Foglio practices at 300 N Main St Ste D, Crown Point, IN 46307. The listed phone number is (219) 663-4888.

What is Staci Foglio's specialty?

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

Is Staci Foglio enrolled in Medicare?

Yes. Staci Foglio 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.

Is Staci Foglio affiliated with any hospitals?

According to CMS data, Staci Foglio is affiliated with Northwestern Medicine Central Dupage Hospital and Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Staci Foglio was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.