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NORMAN RUSSELL STACKHOUSE P.A.
NPI 1053412569
Physician Assistant - Medical in Clinton, MD

Active since September 26, 2006PECOS Enrolled
9131 PISCATAWAY RD, SUITE 600, CLINTON, MD 20735(301) 868-0110(301) 856-0604 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Norman Russell Stackhouse P.a. NPPES

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

NORMAN RUSSELL STACKHOUSE P.A. (NPI 1053412569) is an individual medical provider in Clinton, Maryland, licensed in Maryland (C0000861) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053412569
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameNORMAN RUSSELL STACKHOUSECredential: P.A.
Location Address9131 PISCATAWAY RD, SUITE 600Clinton, MD 20735-2508
Mailing Address9131 Piscataway Rd, Suite 600Clinton, MD 20735-2508 · (301) 868-0110 · Fax (301) 856-0604
Phone(301) 868-0110
Fax(301) 856-0604
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1053412569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C0000861
9131 PISCATAWAY RD, Clinton, MD 20735
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified00A631N84MD · Mc Ind Clinton
Medicare UPINP38655MD
Medicare ID-Type Unspecified907EMD · Mc Ind Wld

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Norman Russell Stackhouse P.a. 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers16 claims16 services$37.23 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers14 claims14 services$7.63 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims96 services$1.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. DAVID ALLEN SPOTT M.D.
Dermatology
9131 PISCATAWAY RD, SUITE # 550
CLINTON, MD 20735
Prince George's County (301) 868-7077
DR. VANESSA KAY GORDON D.D.S.
Dentist (General Practice)
9131 PISCATAWAY RD, SUITE 210
CLINTON, MD 20735
Prince George's County (301) 877-9230
DR. HERMAN DANIELS MD
Internal Medicine
9131 PISCATAWAY RD, 430
CLINTON, MD 20735
Prince George's County (301) 868-5576
DR. BILL PERCY KARPA D.D.S.
Dentist
9131 PISCATAWAY RD, SUITE 640
CLINTON, MD 20735
Prince George's County (301) 868-3203
DIAGNOSTIC MANAGEMENT ASSOCIATES INC
Clinic/Center (Radiology)
9131 PISCATAWAY RD, SUITE 250
CLINTON, MD 20735
Prince George's County (301) 868-9575
RENU CHANDRA MD
Pediatrics
9131 PISCATAWAY RD, #710
CLINTON, MD 20735
Prince George's County (301) 868-8654
WOMAN TO WOMAN OBGYN PC
Specialist
9131 PISCATAWAY RD, SUITE 540
CLINTON, MD 20735
Prince George's County (301) 856-1113
DR. CHIHWEN ALEC YEN D.M.D.
Dentist (Periodontics)
9131 PISCATAWAY RD, SUITE 720
CLINTON, MD 20735
Prince George's County (301) 868-7716

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 Norman Stackhouse's NPI number?

The NPI number for Norman Stackhouse is 1053412569. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Norman Stackhouse located?

Norman Stackhouse practices at 9131 Piscataway Rd Suite 600, Clinton, MD 20735. The listed phone number is (301) 868-0110.

What is Norman Stackhouse's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Norman Stackhouse enrolled in Medicare?

Yes. Norman Stackhouse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Norman Stackhouse was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.