MS. STACEY PRATT MPA
NPI 1619200128
Physician Assistant - Medical in Los Angeles, CA

NPI Status: Active since September 15, 2009

Contact Information

818 W 7TH ST STE 930
LOS ANGELES, CA
ZIP 90017
Phone: (646) 586-9908

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  • Individual
  • Female
  • Years of Experience 17
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About STACEY PRATT

This page provides the complete NPI Profile along with additional information for Stacey Pratt, a primary care provider established in Los Angeles, California with a medical specialization in Physician Assistant, focusing in medical and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1619200128 assigned on September 2009. The practitioner's primary taxonomy code is 363AM0700X with license number 0110003132 (VA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1619200128
Provider Name
MS. STACEY PRATT MPA
Other Name
STACEY L. SHAYDER
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
818 W 7TH ST STE 930 LOS ANGELES, CA 90017
Location Phone
(646) 586-9908
Mailing Address
2241 WANKEL WAY STE C OXNARD, CA 93030
Mailing Phone
(805) 983-0922
Mailing Fax
Medical School Name
OTHER
Graduation Year
2009
Is Sole Proprietor?
No
Enumeration Date
09-15-2009
Last Update Date
10-18-2024
Code Navigator

A primary care provider (PCP) like Stacey Pratt sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 156 W 56th St Ste 1000
    New York, NY 10019
    (646) 586-9908
  • 2241 Wankel Way Ste C
    Oxnard, CA 93030
    (805) 983-0922

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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
0110003132
License State
VA

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)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

0010-12869 (NC)
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA100237 (MA)
3363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

9042 (AZ)
4363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA17043 (TX)
5363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

028296 (NY)
6363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA61433652 (WA)
7363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

C08341 (MD)
8363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

11549 (GA)
9363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA.0007864 (CO)
10363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

53299 (CA)
11363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

4698 (SC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10: $0 PCP at Aetna network & MinuteClinic Primary Care + $0 CVS Health Virtual Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • BannerAetna Bronze 2 HSA: No PCP required + 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental +Vision - HMO
  • BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Silver 5: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Stacey Pratt is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Stacey Pratt is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2961549779

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220927002503, I20230112002117, I20240111002497, I20240119001239, I20240122000731, I20240606002911

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MS. STACEY PRATT MPA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619200128
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
262940014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 4 + 0 + 0 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1619200128 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

HEARTBEAT MEDICAL GROUP OF CALIFORNIA, P.C.

Clinic/Center

(Health Service)

818 W 7TH ST STE 930
LOS ANGELES, CA
ZIP 90017

(646) 586-9908

DR. JANA MARIE GOLDBERG M.D.

Internal Medicine

(Cardiovascular Disease)

818 W 7TH ST STE 930
LOS ANGELES, CA
ZIP 90017

(646) 586-9908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619200128, enumerated as an "individual" on September 15, 2009.

The provider is located at 818 W 7TH ST STE 930 LOS ANGELES, CA 90017 and the phone number is (646) 586-9908.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Aetna CVS Health and BannerAetna. Please consult your insurance carrier or call the provider to verify.