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MADISEN TAYLER STACKS
NPI 1063004158
Nurse Practitioner - Family in Lake Dallas, TX

Active since February 09, 2021PECOS EnrolledAccepts Medicare Assignment
503 MAIN ST STE C, LAKE DALLAS, TX 75065(940) 535-5296 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2021, Feb 9, 2021 (2 updates tracked since 2021).

About Madisen Tayler Stacks NPPES

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

MADISEN TAYLER STACKS (NPI 1063004158) is an individual family provider in Lake Dallas, Texas, licensed in Texas (1029434) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063004158
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMADISEN TAYLER STACKS
Location Address503 MAIN ST STE CLake Dallas, TX 75065-2878
Mailing Address503 Main St Ste CLake Dallas, TX 75065-2878 · (832) 367-8843
Phone(940) 535-5296
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 9, 2021
Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1063004158 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 TX · 1029434
503 MAIN ST STE C, Lake Dallas, TX 75065
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Madisen Tayler Stacks 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.

PECOS PAC ID1456757384
PECOS Enrollment IDI20210901001351
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75065 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 2

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

MS. CARMEN PHILLIPS WHITE FNP-BC
Nurse Practitioner (Family)
503 MAIN ST STE C
LAKE DALLAS, TX 75065
Denton County (940) 535-5296
LAKE DALLAS FAMILY MEDICINE PLLC
Nurse Practitioner (Family)
503 MAIN ST STE C
LAKE DALLAS, TX 75065
Denton County (940) 535-5296

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 Madisen Stacks's NPI number?

The NPI number for Madisen Stacks is 1063004158. It was assigned to this individual provider in the NPPES registry on February 9, 2021.

Where is Madisen Stacks located?

Madisen Stacks practices at 503 Main St Ste C, Lake Dallas, TX 75065. The listed phone number is (940) 535-5296.

What is Madisen Stacks's specialty?

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

Is Madisen Stacks enrolled in Medicare?

Yes. Madisen Stacks 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 Madisen Stacks accept?

Health plans from Blue Cross and Blue Shield of Texas list Madisen Stacks 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.

Is Madisen Stacks affiliated with any hospitals?

According to CMS data, Madisen Stacks is affiliated with Medical City Denton.

When was this NPI record last updated?

The NPPES record for Madisen Stacks was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.