STACI SUTTON
NPI 1043625296
Physician Assistant in Fort Worth, TX

Q: What is Staci Sutton's NPI number?

The NPI number for Staci Sutton is 1043625296. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Q: What is Staci Sutton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Staci Sutton was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 26, 2014PECOS Enrolled

7630 N BEACH ST STE 140, FORT WORTH, TX 76137(817) 281-2977(817) 788-2530 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Staci Sutton NPPES

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

STACI SUTTON (NPI 1043625296) is an individual physician assistant in Fort Worth, Texas and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043625296

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSTACI SUTTON

Location Address7630 N BEACH ST STE 140Fort Worth, TX 76137-3016

Mailing Address7630 N Beach St Ste 140Fort Worth, TX 76137-3016 · (817) 281-2977 · Fax (817) 788-2530

Phone(817) 281-2977

Fax(817) 788-2530

Sole ProprietorNo

Enumeration DateJune 26, 2014

✔ NPI 1043625296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

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.

7630 N BEACH ST STE 140, Fort Worth, TX 76137

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Staci Sutton 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76137 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

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 9

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

JULIET CLUTTER PA-C

Physician Assistant