MRS. MARY RAMSEY STUCKEY (PA-C) – Medical Physician Assistant, NPI 1164768792

MRS. MARY RAMSEY STUCKEY (PA-C) is a healthcare provider. based in Beverly, Massachusetts. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA4542 (MA). The NPI Number for MRS. MARY RAMSEY STUCKEY (PA-C) is 1164768792

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY RAMSEY STUCKEY (PA-C)
NPI
1164768792
Phone
(978) 973-7175
Address
73 HASKELL ST
Enumeration Date
31 December 2012
Last Update Date
31 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7816919366
Graduation Year
2012 (14 years ago)
PAC ID
0749414068
Group Practice PAC ID
6406141217
Professional Enrollment ID
I20130927000479
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for MRS. MARY RAMSEY STUCKEY (PA-C)

  • 73 HASKELL ST

    BEVERLY, MA 019152184

    Phone: (978) 973-7175

    Type: Mailing

  • 585 LEBANON ST

    MELROSE, MA 021763225

    Phone: (781) 979-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $138.

Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.

Last reported payment date: 2023-11-09 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($53).

Total Amount

$138

General + Research + Ownership

Payments

6

Total payment records

General Amount

$138

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-09

Latest reported date

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: 2013-09-27

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
I20130927000479IPhysician AssistantMATBD

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 01915)

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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: 6406141217View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Emergency MedicineMA
Physician AssistantNH
Physician AssistantMA
Family Practice, Emergency MedicineMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
-NY

Reviews

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Frequently asked questions

What is the standard ID for MRS. MARY RAMSEY STUCKEY (PA-C) in the U.S.?
In the U.S., MRS. MARY RAMSEY STUCKEY (PA-C) is identified by NPI 1164768792.
Should I treat MRS. MARY RAMSEY STUCKEY (PA-C) as an active provider?
Patients and plans typically see MRS. MARY RAMSEY STUCKEY (PA-C) as active in the national extract.
How should patients interpret MRS. MARY RAMSEY STUCKEY (PA-C)'s specialty?
The extract shows Medical Physician Assistant for MRS. MARY RAMSEY STUCKEY (PA-C). Clinical services aligned with this taxonomy classification.
Can patients visit MRS. MARY RAMSEY STUCKEY (PA-C) in Beverly, Massachusetts?
For routing, start with Beverly, Massachusetts for MRS. MARY RAMSEY STUCKEY (PA-C), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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