Stacie Rae Nichols


Address: 506 8th St, Davenport, WA 99122-5179

Stacie Rae Nichols (NPI# 1912927518, PAC ID# 9638069560) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.

Physician Overview

Nation Provider ID (NPI) 1912927518
PAC ID by PECOS 9638069560
Professional Enrollment ID I20100924000352
Full Name Stacie Rae Nichols
Address 506 8th St
Davenport
WA 99122-5179
Gender F
Medical School PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 1995
Primary Specialty OPTOMETRY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
506 8th St, Davenport, WA 99122-5179

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 97%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_012_overall Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation 100%
MIPS_EC_014_overall Age-Related Macular Degeneration (AMD): Dilated Macular Examination 100%
MIPS_EC_117_overall Diabetes: Eye Exam 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_140_overall Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Organization Information

Office Location

Street Address 506 8TH ST
City DAVENPORT
State WA
Zip 99122-5179

Physicians in the same zip code

Name Specialty Organization Address
Raaj Kiran Ruparel General Surgery Lincoln County Hospital District 3 100 3rd St, Suite 1, Davenport, WA 99122-5008
Rolf K Panke Family Medicine Lincoln County Hospital District 3 100 3rd St, Davenport, WA 99122-5008
Lynn A Kohlmeier Endocrinology Lincoln County Hospital District 3 100 3rd St, Davenport, WA 99122-5008
Tyler W Zaugg Physician Assistant Lincoln County Hospital District 3 100 3rd St, Davenport, WA 99122-5008
Stacia J Soliday Nurse Practitioner Lincoln County Hospital District 3 100 3rd St, Davenport, WA 99122-5008
Christine M Seyler Physician Assistant Lincoln County Hospital District 3 100 3rd St, Davenport, WA 99122-5008
James N Dunlap Orthopedic Surgery Lincoln County Hospital District 3 100 3rd St, Suite 1, Davenport, WA 99122-5008
Steven W Beckstrom Certified Registered Nurse Anesthetist (crna) Lincoln County Hospital District 3 10 Nichols St, Acute Care, Davenport, WA 99122-9729
Deanna D Davidson General Surgery Lincoln County Hospital District 3 10 Nichols St, Acute Care, Davenport, WA 99122-9729
Cynthia D Mccall Nurse Practitioner Lincoln County Hospital District 3 10 Nichols St, Acute Care, Davenport, WA 99122-9729
Find all physicians in zip 99122

Competitor

Search similar physicians

City DAVENPORT
Zip Code 99122
Specialty OPTOMETRY
City + Specialty DAVENPORT + OPTOMETRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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