Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497981880 Individual Practitioner Female Practitioner

Stacey L Dunn , CSA

Physician Assistant • Providence, RI

Professional Overview & Biography Verified Profile Summary

Stacey Dunn, CSA is a certified Physician Assistant practicing in Providence, RI. With approximately 10 years of clinical experience since graduating from Tufts University School Of Medicine in 2016, Stacey Dunn delivers high-quality medical care to the local community at 825 CHALKSTONE AVE.

Stacey Dunn does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

825 Chalkstone Ave

Providence, RI 029084728

Telephone 4014562000
Associated Practice Facility / Clinic
🏢 Roger Williams Medical Center Facility NPI 1649278250

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

2016

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Providence, RI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -0.6 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
267 Specialists

Practicing in Providence, RI (687 Statewide)

Telehealth Adoption Rate
16.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dunn (10 Years) 10 Yrs
Providence Specialty Average (10.6 Years) 10.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
117 110 $1142.95 $146.49
99284 Emergency department visit with moderate level of medical decision making
106 100 $787.31 $101.15
99283 Emergency department visit with low level of medical decision making
45 45 $563.49 $59.52

Medical Specialties & State Licenses

CMS Verified: 2026-06-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA00872

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MA PA6561

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110136606A (MA)

Secondary Practice Locations

200 High Service Ave

North Providence, RI 029045113

Phone: 4014563000

115 Lincoln St

Framingham, MA 017026358

Phone: 5083831000

57 Alton St

Walpole, MA 020814101

Phone: 4132970237

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013007319

Doctor of Medicine (M.D.)

Garrick Whitlock , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023346491

Certified Registered Nurse Anesthetist

NPI 1023907185

Doctor of Medicine (M.D.)

Dr. Zaza Aladashvili , MD

Internal Medicine

NPI 1043131311

Doctor of Medicine (M.D.)

NPI 1063073146

Doctor of Medicine (M.D.), MHA

Dr. Alejandro Juul , MD

Internal Medicine

NPI 1063257400

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2026

Physician Assistant (License #PA6561 in MA)

📍
Updated Practice Location July 08, 2025

Registered at 825 CHALKSTONE AVE, PROVIDENCE, RI 029084728 (Tel: 4014562000)

👤
Provider Name / Credentials Updated September 15, 2021

Recorded as STACEY DUNN, CSA

NPI Profile Active April 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2016

Registered at 57 ALTON ST, WALPOLE, MA 020814101 (Tel: 4132970237)

📍
Updated Business Mailing Address April 07, 2016

Registered at 57 ALTON ST, WALPOLE, MA 020814101 (Tel: 4132970237)

👤
Provider Name / Credentials Updated April 07, 2016

Recorded as STACEY MCCANN, CSA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2016

Physician Assistant (License #PA00872 in RI)

🟢
Initial NPI Registration & Enumeration May 31, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497981880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2009
Last Update: June 29, 2026
Sole Proprietor: Yes

Mailing Address

57 Alton St

Walpole, MA 020814101

Phone: 4132970237

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.