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STACEY RYDZEWSKA PA-C
NPI 1437778677
Physician Assistant in Farmington, CT

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment
263 FARMINGTON AVENUE, FARMINGTON, CT 06030(860) 679-2626(860) 679-1223 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 14, 2022, Dec 16, 2021, Jun 18, 2021 and 3 more (6 updates tracked since 2020).

About Stacey Rydzewska Pa-c NPPES

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

STACEY RYDZEWSKA PA-C (NPI 1437778677) is an individual physician assistant in Farmington, Connecticut, licensed in Connecticut (4901) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1437778677
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACEY RYDZEWSKACredential: PA-C
Location Address263 FARMINGTON AVENUEFarmington, CT 06030-8063
Mailing Address263 Farmington AvenueFarmington, CT 06030-8063 · (860) 679-2626 · Fax (860) 679-1223
Phone(860) 679-2626
Fax(860) 679-1223
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 8, 2020
Last NPPES UpdateSeptember 14, 20226 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
✔ NPI 1437778677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CT · 4901
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 ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License 4901 (CT)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
263 FARMINGTON AVENUE, Farmington, CT 06030
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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

Stacey Rydzewska 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 ID9739589052
PECOS Enrollment IDI20210608002355
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06030 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 20

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

MAROUN SFEIR
Pathology (Anatomic Pathology)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2980
LISA PETRICCA PA-C
Physician Assistant (Medical)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2100
SHASHANK NAGARAJ PATIL MD
Neurological Surgery
263 FARMINGTON AVENUE, UCONN HEALTH, DEPARTMENT OF SURGERY
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4617
DR. RICHARD KENT WAGNER MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3387
DR. MICHAEL CHRISTOPHER SOBIERAJ MD, PHD
Orthopaedic Surgery
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6600
DR. ANA ALEYDA MORALES MD
Ophthalmology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3540
DR. AKUA POKUAH SARFO MD/PHD
Dermatology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4600
JENNIFER MARIE GARDNER APRN
Nurse Practitioner (Family)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2100

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 Rydzewska's NPI number?

The NPI number for Stacey Rydzewska is 1437778677. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Stacey Rydzewska located?

Stacey Rydzewska practices at 263 Farmington Avenue, Farmington, CT 06030. The listed phone number is (860) 679-2626.

What is Stacey Rydzewska's specialty?

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

Is Stacey Rydzewska enrolled in Medicare?

Yes. Stacey Rydzewska 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.

When was this NPI record last updated?

The NPPES record for Stacey Rydzewska was last updated on September 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.