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STACEY M. SMITH PA
NPI 1972743185
Physician Assistant in Winston Salem, NC

Active since February 27, 2009
2010 BALDWIN LN, WINSTON SALEM, NC 27103(336) 277-1717 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey M. Smith Pa NPPES

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

STACEY M. SMITH PA (NPI 1972743185) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (103070) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1972743185
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACEY M. SMITHCredential: PA
Location Address2010 BALDWIN LNWinston Salem, NC 27103-5846
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 277-1717
Phone(336) 277-1717
Sole ProprietorNo
Enumeration DateFebruary 27, 2009
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedSeptember 6, 2020
✔ NPI 1972743185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 103070
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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0110003000 (VA)
2010 BALDWIN LN, Winston Salem, NC 27103
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Other Names 1

Former Name (1)Stacey Renee Moose Pa

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
94%77 patients4/55-star benchmark: 100%
Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
1%131 patients1/55-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
63%131 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…
47%143 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
67%51 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
74%73 patients3/55-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.

Other Providers at the Same Location NPPES 17

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

DR. OLIVER JAMES HART III M.D.
Urology
2010 BALDWIN LN
WINSTON SALEM, NC 27103
Forsyth County (336) 277-1717
FORSYTH MEMORIAL HOSPITAL, INC.
Urology
2010 BALDWIN LN
WINSTON SALEM, NC 27103
Forsyth County (704) 384-4000
JAMILA MICHELLE HINTON CARVER FNP-C
Nurse Practitioner
2010 BALDWIN LN
WINSTON SALEM, NC 27103
Forsyth County (336) 277-1717
GRACE CATHERINE LOEFFLER PA-C
Physician Assistant
2010 BALDWIN LN
WINSTON SALEM, NC 27103
Forsyth County (336) 277-1717
RICHARD HEECHUN SHIN
Urology
2010 BALDWIN LN
WINSTON SALEM, NC 27103
Forsyth County (336) 277-1717
JOHN JOSEPH SMITH III MD
Urology
2010 BALDWIN LN
WINSTON SALEM, NC 27103
Forsyth County (336) 564-4430
FORSYTH MEMORIAL HOSPTIAL INC
Obstetrics & Gynecology
2010 BALDWIN LN
WINSTON SALEM, NC 27103
Forsyth County (336) 277-6080
DR. BRANDON LEE CRAVEN M.D.
Urology
2010 BALDWIN LN
WINSTON SALEM, NC 27103
Forsyth County (336) 277-1717

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 Smith's NPI number?

The NPI number for Stacey Smith is 1972743185. It was assigned to this individual provider in the NPPES registry on February 27, 2009. The provider is also known as Stacey Renee Moose PA.

Where is Stacey Smith located?

Stacey Smith practices at 2010 Baldwin Ln, Winston Salem, NC 27103. The listed phone number is (336) 277-1717.

What is Stacey Smith's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacey Smith 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.