STACIA LYNN CHEADLE PA-C
NPI 1891044574
Physician Assistant in Matthews, NC

Q: What is Stacia Cheadle's NPI number?

The NPI number for Stacia Cheadle is 1891044574. It was assigned to this individual provider in the NPPES registry on September 10, 2012.

Q: What is Stacia Cheadle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacia Cheadle was last updated on October 28, 2020. 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.

Active since September 10, 2012

9600 E INDEPENDENCE BLVD, MATTHEWS, NC 28105(704) 815-5624(704) 815-5621 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 28, 2020, Mar 5, 2019 (2 updates tracked since 2019).

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About Stacia Lynn Cheadle Pa-c NPPES

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

STACIA LYNN CHEADLE PA-C (NPI 1891044574) is an individual physician assistant in Matthews, North Carolina, licensed in Illinois (085004419) and active in the NPI registry since September 2012. She maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1891044574

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSTACIA LYNN CHEADLECredential: PA-C

Location Address9600 E INDEPENDENCE BLVDMatthews, NC 28105

Mailing AddressPo Box 601843Charlotte, NC 28260-1843

Phone(704) 815-5624

Fax(704) 815-5621

Sole ProprietorNo

Enumeration DateSeptember 10, 2012

Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration

NPPES CertifiedOctober 28, 2020

✔ NPI 1891044574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085004419

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.

9600 E INDEPENDENCE BLVD, Matthews, NC 28105

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Secondary Practice Location 1

Location 11918 Randolph RdCharlotte, NC 28207-1100 · Phone (704) 316-1050 · Fax (704) 316-1051

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

82%39 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

55%55 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

37%67 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

43%23 patients2/55-star benchmark: 98%

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.

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.

CAROLINE MCLEOD HARRIS PA-C

Physician Assistant