Stacy Church, PA-C
NPI 1114930658 · Medical Physician Assistant · Charleston, WV
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacy Church, PA-C is a Medical Physician Assistant provider in Charleston, WV (NPI 1114930658).
Provider details
- NPI number
- 1114930658
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 01163 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2011-06-21
Frequently asked questions
- What is Stacy Church's NPI number?
- Stacy Church's National Provider Identifier (NPI) is 1114930658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Church's specialty?
- Stacy Church is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stacy Church located?
- Stacy Church's practice location on file with NPPES is 3100 Maccorkle Ave Se, Charleston, WV 25304-1223.
- What is Stacy Church's phone number?
- The practice phone number listed in the NPPES registry for Stacy Church is (304) 346-1141.
- Does Stacy Church accept Medicare?
- Stacy Church is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacy Church's NPI active?
- Yes — Stacy Church's NPI (1114930658) is active in the NPPES registry as of the last update on 2011-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.