STACEY GLASS MALSTROM NP-C
NPI 1003223934
Nurse Practitioner in Marietta, GA
About Stacey Glass Malstrom Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY GLASS MALSTROM NP-C (NPI 1003223934) is an individual nurse practitioner in Marietta, Georgia, licensed in Georgia (RN177773) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stacey Glass Malstrom Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Stacey Malstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marietta, GA 30060
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacey Malstrom's NPI number?
The NPI number for Stacey Malstrom is 1003223934. It was assigned to this individual provider in the NPPES registry on July 11, 2014. The provider is also known as Stacey Lynn Glass.
Where is Stacey Malstrom located?
Stacey Malstrom practices at 55 Whitcher St NE Ste 350, Marietta, GA 30060. The listed phone number is (770) 424-6893.
What is Stacey Malstrom's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Stacey Malstrom enrolled in Medicare?
Yes. Stacey Malstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Stacey Malstrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Malstrom reassigns Medicare benefits to Wellstar Medical Group, LLC (Marietta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Malstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Malstrom accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health and Oscar Health list Stacey Malstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stacey Malstrom was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stacey Glass Malstrom, NP-C · NPI 1003223934
Nurse Practitioner physician in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since July 11, 2014.
## Identity
- **NPI:** 1003223934 (Entity type: Individual)
- **Enumerated:** July 11, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN177773 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 WHITCHER ST NE STE 350, Marietta, GA 30060-1129
- **Phone:** (770) 424-6893
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wellstar Medical Group, LLC (NPI 1235438367, Marietta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1003223934) · Data from the CMS NPPES public registry.