STACEY RYDZEWSKA (PA-C) – Physician Assistant, NPI 1437778677

STACEY RYDZEWSKA (PA-C) is a healthcare provider. based in Plantsville, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 4901 (CT). The NPI Number for STACEY RYDZEWSKA (PA-C) is 1437778677

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
STACEY RYDZEWSKA (PA-C)
NPI
1437778677
Phone
(860) 978-9109
Address
421 S END RD
Enumeration Date
8 April 2020
Last Update Date
14 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8602462571
Graduation Year
2020 (6 years ago)
PAC ID
9739589052
Group Practice PAC ID
9830110758
Professional Enrollment ID
I20210608002355
Address ID
CT061065529HA85XXXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for STACEY RYDZEWSKA (PA-C)

  • 421 S END RD

    PLANTSVILLE, CT 064791826

    Phone: (860) 978-9109

    Type: Mailing

  • 263 FARMINGTON AVENUE

    FARMINGTON, CT 060308063

    Phone: (860) 679-2626

    Fax: (860) 679-1223

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $98.

Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.

Last reported payment date: 2024-06-14 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($47).

Total Amount

$98

General + Research + Ownership

Payments

4

Total payment records

General Amount

$98

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-06-08

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
I20210608002355IPhysician AssistantCTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1515$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 06479)

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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: 9830110758View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CT
Gastroenterology, Internal MedicineCT
-NY
Nurse PractitionerCT
Certified Registered Nurse Anesthetist (Crna)NY
G A S T R O E N T E R O L O G YCT
P A T H O L O G YWA
Internal Medicine, GastroenterologyCT
Physician AssistantCT
Certified Registered Nurse Anesthetist (Crna)CT

Reviews

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Frequently asked questions

Is there an official ID for STACEY RYDZEWSKA (PA-C) in U.S. healthcare records?
The official identifier for STACEY RYDZEWSKA (PA-C) is NPI 1437778677.
Is STACEY RYDZEWSKA (PA-C) still an active registrant?
STACEY RYDZEWSKA (PA-C) carries an active NPI according to the public dataset.
What kind of doctor is STACEY RYDZEWSKA (PA-C)?
STACEY RYDZEWSKA (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is STACEY RYDZEWSKA (PA-C) located near Plantsville?
STACEY RYDZEWSKA (PA-C) currently maps to Plantsville, Connecticut in this extract.
Can I trust this NPI listing for STACEY RYDZEWSKA (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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