MATTHEW A STACK PA C
NPI 1033108667
Physician Assistant in Ithaca, MI
About Matthew A Stack Pa C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW A STACK PA C (NPI 1033108667) is an individual physician assistant in Ithaca, Michigan, licensed in Michigan (5601003961) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Flint, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew A Stack Pa 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48847 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ITHACA, MI 48847
ITHACA, MI 48847
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 Matthew Stack's NPI number?
The NPI number for Matthew Stack is 1033108667. It was assigned to this individual provider in the NPPES registry on October 17, 2005.
Where is Matthew Stack located?
Matthew Stack practices at 121 N Pine River St, Ithaca, MI 48847. The listed phone number is (989) 287-0662.
What is Matthew Stack's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Matthew Stack enrolled in Medicare?
Yes. Matthew Stack 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.
What insurance does Matthew Stack accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Matthew Stack 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 Matthew Stack was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.