DR. STACEY KIM RAYA (DC) – Chiropractor, NPI 1073502134

DR. STACEY KIM RAYA (DC) is a healthcare provider. based in Southington, Connecticut. specializing in Chiropractor. They hold the professional credentials DC. They hold a License No. 000938 (CT). The NPI Number for DR. STACEY KIM RAYA (DC) is 1073502134

Main info

Female
36 Years Of Experience
Name
DR. STACEY KIM RAYA (DC)
NPI
1073502134
Phone
(860) 621-2225
Address
200 QUEEN ST
Enumeration Date
20 October 2005
Last Update Date
10 September 2012

Doctor Profile

Medical School Name
NEW YORK CHIROPRACTIC COLLEGE
Secondary Phone
8606212225
Graduation Year
1990 (36 years ago)
PAC ID
5193858231
Group Practice PAC ID
5395878433
Professional Enrollment ID
I20100727000303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. STACEY KIM RAYA (DC)

  • 200, Queen Street, North End, Southington, Hartford County, Connecticut, 06489, United States

    SOUTHINGTON, CT 064891901

    Phone: (860) 621-2225

    Fax: (860) 621-2868

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100727000303IChiropracticCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06489)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395878433View full group profile
NameSpecialtyState
C H I R O P R A C T I CCT
C H I R O P R A C T I CCT
-CT
C H I R O P R A C T I CCT
C H I R O P R A C T I CCT

Reviews

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Frequently asked questions

Does DR. STACEY KIM RAYA (DC) have a public NPI I can cite?
Public records show DR. STACEY KIM RAYA (DC) under NPI 1073502134.
Does the public listing show DR. STACEY KIM RAYA (DC) as active?
DR. STACEY KIM RAYA (DC)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. STACEY KIM RAYA (DC)?
NPPES ties DR. STACEY KIM RAYA (DC) to Chiropractor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. STACEY KIM RAYA (DC)?
DR. STACEY KIM RAYA (DC) shows a connection to Southington, Connecticut in registry-derived data.
Can I export DR. STACEY KIM RAYA (DC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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