MS. STACI J LADOWITZ PA
NPI 1639711963
Physician Assistant - Medical in Shiloh, IL

Q: What is Staci Ladowitz's NPI number?

The NPI number for Staci Ladowitz is 1639711963. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Q: What is Staci Ladowitz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Staci Ladowitz was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since October 08, 2019PECOS EnrolledAccepts Medicare Assignment

92.39/100

CMS Quality Rating

1418 CROSS ST, STE 160, SHILOH, IL 62269(618) 607-1340(618) 433-6492 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2021, Oct 8, 2019 (2 updates tracked since 2019).

On this page

About Ms. Staci J Ladowitz Pa NPPES

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

MS. STACI J LADOWITZ PA (NPI 1639711963) is an individual medical provider in Shiloh, Illinois, licensed in Illinois (085007299) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Southern Illinois University School Of Medicine (2019).

NPPES Registry Identity

NPI1639711963

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. STACI J LADOWITZCredential: PA

Location Address1418 CROSS ST, STE 160Shiloh, IL 62269-2914

Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (618) 607-1340 · Fax (618) 433-6492

Phone(618) 607-1340

Fax(618) 433-6492

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2019

Enumeration DateOctober 8, 2019

Last NPPES UpdateApril 21, 20252 updates tracked since enumeration

✔ NPI 1639711963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IL · 085007299

1418 CROSS ST, Shiloh, IL 62269

Open in Google Maps ↗

Other Identifiers 1

Medicaid220076974MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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

Ms. Staci J Ladowitz Pa 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 ID5799117594

PECOS Enrollment IDI20191116000413

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 2

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 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.

429 services322 patients

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.

51 services48 patients

Hospital Affiliations CMS Care Compare 3

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL

OwnershipVoluntary non-profit - Church

CMS Certification Number140145

Location9515 Holy Cross LnBreese, IL 62230 · Clinton County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140187

LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County

Emergency services Birthing friendly

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.

92.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.81

Promoting Interoperability

100

Improvement Activities

Cost

70.26

Other Providers at the Same Location NPPES 12

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

DR. PAUL KOGAN MD

Urology

1418 CROSS ST, DIV SURG UROLOGY, STE 180
SHILOH, IL 62269

St. Clair County (314) 362-8200

DR. BRETT HOWARD HERZOG MD PHD

Internal Medicine (Medical Oncology)

1418 CROSS ST, DIV IM MEDICAL ONCOLOGY, STE 180
SHILOH, IL 62269

St. Clair County (618) 607-1340

DR. JOHN L VISCONTI DO

Internal Medicine (Medical Oncology)

1418 CROSS ST, DIV IM MEDICAL ONCOLOGY, STE 180
SHILOH, IL 62269

St. Clair County (618) 607-1340

DR. ALFRED O GRECO MD

Internal Medicine (Medical Oncology)

1418 CROSS ST, DIV IM MEDICAL ONCOLOGY, STE 180
SHILOH, IL 62269

St. Clair County (618) 607-1340

MR. COREY AUSTIN BROOKS PA

Physician Assistant

1418 CROSS ST, DIV IM MEDICAL ONCOLOGY, STE 180
SHILOH, IL 62269

St. Clair County (618) 607-1340

PROTESTANT MEMORIAL MEDICAL CENTER, INC.

Pharmacy (Community/Retail Pharmacy)

1418 CROSS ST
SHILOH, IL 62269

St. Clair County (618) 607-1419

MS. AMANDA D ALLEN AGNP

Nurse Practitioner (Gerontology)

1418 CROSS ST, DIV IM MEDICAL ONCOLOGY, STE 180
SHILOH, IL 62269

St. Clair County (800) 647-2098

DR. WILLIAM JAMES POPOVIC MD

Internal Medicine (Medical Oncology)

1418 CROSS ST, DIV IM MEDICAL ONCOLOGY, STE 180
SHILOH, IL 62269

St. Clair County (618) 607-1340

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 Ladowitz's NPI number?

The NPI number for Staci Ladowitz is 1639711963. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Where is Staci Ladowitz located?

Staci Ladowitz practices at 1418 Cross St Ste 160, Shiloh, IL 62269. The listed phone number is (618) 607-1340.

What is Staci Ladowitz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Staci Ladowitz enrolled in Medicare?

Yes. Staci Ladowitz 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 Staci Ladowitz accept?

Health plans from Cox HealthPlans list Staci Ladowitz 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 Staci Ladowitz affiliated with any hospitals?

According to CMS data, Staci Ladowitz is affiliated with St Josephs Hospital, Memorial Hospital and Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Staci Ladowitz was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.