KRYSTLE STACH LMSW
NPI 1053987040
Social Worker in Marquette, MI

Q: What is Krystle Stach's NPI number?

The NPI number for Krystle Stach is 1053987040. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Q: What is Krystle Stach's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Krystle Stach was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 01, 2021PECOS Enrolled

200 W SPRING ST, MARQUETTE, MI 49855(906) 225-1181 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 31, 2024, Jun 1, 2021 (2 updates tracked since 2021).

On this page

About Krystle Stach Lmsw NPPES

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

KRYSTLE STACH LMSW (NPI 1053987040) is an individual social worker in Marquette, Michigan and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053987040

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKRYSTLE STACHCredential: LMSW

Location Address200 W SPRING STMarquette, MI 49855-4661

Mailing Address200 W Spring StMarquette, MI 49855-4661 · (906) 225-1181

Phone(906) 225-1181

Sole ProprietorNo

Enumeration DateJune 1, 2021

Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration

NPPES CertifiedJuly 31, 2024

✔ NPI 1053987040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

200 W SPRING ST, Marquette, MI 49855

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystle Stach Lmsw 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 Krystle Stach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pathways

Same address

Mental Health (Including Community Mental Health Center)

200 W SPRING ST
Marquette, MI 49855

Reassigned Medicare billing, Michigan enrollment
36 clinicians in this Medicare group

NPI 1487683546 (906) 225-7210

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

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.

KARLEY JO PRICE

Behavior Technician