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

Active since August 31, 2021PECOS Enrolled
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: October 25, 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.

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
Phone(479) 443-4301
Sole ProprietorNo
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
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Leah Pejsa Np 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 Reassignments

3

Medicare enrollment records show Stacey Pejsa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Francis House Nwa, Inc
3.2 mi
Federally Qualified Health Center (FQHC)
3162 W MARTIN LUTHER KING BLVD, SUITES 13 & 14
Fayetteville, AR 72704
  • Reassigned Medicare billing, Arkansas enrollment
  • 80 clinicians in this Medicare group
NPI 1013384288 (479) 935-4834
Pea Ridge Urgent Care Clinic
25 mi
Urgent Care
2103 SLACK ST
Pea Ridge, AR 72751
  • Reassigned Medicare billing, Arkansas enrollment
  • 9 clinicians in this Medicare group
NPI 1558140749 (479) 765-1980
Signify Health Medical Associates, PLLC
266 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arkansas enrollment
  • 354 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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

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.

MICHELE L GRIFFIN NP-C
Nurse Practitioner (Family)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (641) 780-8696
MARTHA JO MCKINNEY APN
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
KRISTIN SALMON PA-C
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
SAVANNAH HILL PA-C
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
MADISON MARIE-IVEY MCANALLY
Social Worker
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 305-0271
DR. JOHN FRANK CUCHIA MD
Anesthesiology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
FAYETTEVILLE VAMC
General Acute Care Hospital
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (615) 355-3451
DR. DIANA L SHIPMAN MD
Ophthalmology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 444-5093

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 enrollment system.

Which organizations bill Medicare for Stacey Pejsa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Pejsa reassigns Medicare benefits to 3 organizations: St Francis House Nwa, Inc (Fayetteville, AR), Pea Ridge Urgent Care Clinic (Pea Ridge, AR) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Pejsa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 10 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.