STACEY LEAH PEJSA NP
NPI 1093483562
Nurse Practitioner - Family in Fayetteville, AR

Active since August 31, 2021PECOS EnrolledAccepts Medicare Assignment
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 443-4301 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2025, Aug 8, 2025, Nov 18, 2021 and 1 more (4 updates tracked since 2021).

About Stacey Leah Pejsa Np NPPES

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

STACEY LEAH PEJSA NP (NPI 1093483562) is an individual family provider in Fayetteville, Arkansas, licensed in Arkansas (217460) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093483562
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY LEAH PEJSACredential: NP
Location Address1100 N COLLEGE AVEFayetteville, AR 72703-1944
Mailing Address1100 N College AveFayetteville, AR 72703-1944 · (479) 443-4301
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 31, 2021
Last NPPES UpdateDecember 18, 20254 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
NPI 1093483562 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 AR · 217460
1100 N COLLEGE AVE, Fayetteville, AR 72703

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

Stacey Leah Pejsa Np 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 ID9032507496
PECOS Enrollment IDI20211104000434
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 72703 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 20

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

Nurse Practitioner (Family)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Social Worker
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Anesthesiology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
General Acute Care Hospital
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Ophthalmology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703

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 Stacey Pejsa's NPI number?

The NPI number for Stacey Pejsa is 1093483562. It was assigned to this individual provider in the NPPES registry on August 31, 2021.

Where is Stacey Pejsa located?

Stacey Pejsa practices at 1100 N College Ave, Fayetteville, AR 72703. The listed phone number is (479) 443-4301.

What is Stacey Pejsa's specialty?

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

Is Stacey Pejsa enrolled in Medicare?

Yes. Stacey Pejsa 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 Stacey Pejsa accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Stacey Pejsa 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 Stacey Pejsa was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.