Individual provider

Stacy Williams, PA-C

Physician Assistant Surgical Physician Assistant Medicare enrolled

Stacy Williams, PA-C is a Surgical Physician Assistant in Folsom, CA, registered under NPI 1629031984. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 192 BLUE RAVINE RD # 100, Folsom, CA 95630. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

192 BLUE RAVINE RD # 100, Folsom, CA 95630 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PA04348 TX Physician Assistant
PA19518 CA Physician Assistant
PA19518 CA Surgical Physician Assistant primary

Licences are recorded in 2 states: TX, CA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
1254387111
Enrollment ID
I20080524000036

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: California and Texas. The practice address on file is in Folsom, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
PA19518
Specialty
Physician Assistant
Verify with the CA board →
TX Texas
Licence
PA04348
Specialty
Physician Assistant
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Surgical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363A00000X Physician Assistant PA04348 TX
363A00000X Physician Assistant PA19518 CA
363AS0400X Surgical Physician Assistant Surgical PA19518 CA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1629031984 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 8, 2006
Last updatedNov 26, 2024
StatusActive
Sole proprietorNo
GenderFemale
CredentialPA-C
Practice address 192 BLUE RAVINE RD # 100
Folsom, CA 95630
(916) 983-3373
Mailing address 5601 J ST
Sacramento, CA 95819
Other identifiers 8N8996 · Other (TX)
P00269387 · Other (TX)
This record was updated on Nov 26, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1629031984 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 2 9 0 3 1 9 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 0 3 2 9 7

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1629031984?
NPI 1629031984 is the National Provider Identifier assigned to Stacy Williams, PA-C in Folsom, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgical cover?
Definition to come...
How do I contact Stacy Williams, PA-C?
The phone number on file with NPPES is (916) 983-3373, last updated Nov 26, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Stacy Williams, PA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629031984 a valid number?
Yes. 1629031984 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.