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MRS. STACY LAMONTAGNA NP
NPI 1003323775
Nurse Practitioner - Family in Bangor, MI

Active since January 04, 2018PECOS Enrolled
803 W ARLINGTON ST, BANGOR, MI 49013(269) 427-6810(269) 427-6811 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Stacy Lamontagna Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STACY LAMONTAGNA NP (NPI 1003323775) is an individual family provider in Bangor, Michigan, licensed in Michigan (4704336065) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003323775
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. STACY LAMONTAGNACredential: NP
Location Address803 W ARLINGTON STBangor, MI 49013-1108
Mailing AddressPo Box 249, 801 Hazen Street, Suite CPaw Paw, MI 49079-0249 · (269) 657-5574 · Fax (269) 657-3474
Phone(269) 427-6810
Fax(269) 427-6811
Sole ProprietorNo
Enumeration DateJanuary 4, 2018
Last NPPES UpdateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
✔ NPI 1003323775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704336065
803 W ARLINGTON ST, Bangor, MI 49013
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stacy Lamontagna Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Lamontagna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intercare Community Health Network
0.2 mi
Federally Qualified Health Center (FQHC)
50 INDUSTRIAL PARK DR
Bangor, MI 49013
  • Reassigned Medicare billing, Michigan enrollment
  • 101 clinicians in this Medicare group
NPI 1326058512 (269) 427-7937

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE M RADAKOVICH FNP-BC
Nurse Practitioner (Family)
803 W ARLINGTON ST
BANGOR, MI 49013
Van Buren County (269) 427-6810
MS. REBEKAH LEE FATZINGER LLP, LMSW
Social Worker (Clinical)
803 W ARLINGTON ST
BANGOR, MI 49013
Van Buren County (269) 427-6810
MS. HOLLY HUSTED NP
Nurse Practitioner
803 W ARLINGTON ST
BANGOR, MI 49013
Van Buren County (269) 427-6810
ANGELA REED NP
Nurse Practitioner (Pediatrics)
803 W ARLINGTON ST, BANGOR HEALTH CENTER
BANGOR, MI 49013
Van Buren County (269) 427-6810

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 Stacy Lamontagna's NPI number?

The NPI number for Stacy Lamontagna is 1003323775. It was assigned to this individual provider in the NPPES registry on January 4, 2018.

Where is Stacy Lamontagna located?

Stacy Lamontagna practices at 803 W Arlington St, Bangor, MI 49013. The listed phone number is (269) 427-6810.

What is Stacy Lamontagna's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacy Lamontagna enrolled in Medicare?

Yes. Stacy Lamontagna is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacy Lamontagna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Lamontagna reassigns Medicare benefits to Intercare Community Health Network (Bangor, MI). 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 Stacy Lamontagna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacy Lamontagna was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.