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SAVANNAH LAVINIA STACKHOUSE
NPI 1093546145
Nurse Practitioner - Family in Fayetteville, NC

Active since August 12, 2024PECOS Enrolled
2125 VALLEYGATE DR STE 102, FAYETTEVILLE, NC 28304(910) 864-0689 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Savannah Lavinia Stackhouse NPPES

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

SAVANNAH LAVINIA STACKHOUSE (NPI 1093546145) is an individual family provider in Fayetteville, North Carolina, licensed in North Carolina (5020623) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093546145
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAVANNAH LAVINIA STACKHOUSE
Location Address2125 VALLEYGATE DR STE 102Fayetteville, NC 28304-3753
Mailing Address2125 Valleygate Dr Ste 102Fayetteville, NC 28304-3753 · (910) 864-0689
Phone(910) 864-0689
Sole ProprietorYes
Enumeration DateAugust 12, 2024
NPPES CertifiedAugust 10, 2024
✔ NPI 1093546145 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 NC · 5020623
2125 VALLEYGATE DR STE 102, Fayetteville, NC 28304
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Savannah Lavinia Stackhouse 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Savannah Stackhouse's NPI number?

The NPI number for Savannah Stackhouse is 1093546145. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Where is Savannah Stackhouse located?

Savannah Stackhouse practices at 2125 Valleygate Dr Ste 102, Fayetteville, NC 28304. The listed phone number is (910) 864-0689.

What is Savannah Stackhouse's specialty?

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

Is Savannah Stackhouse enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Savannah Stackhouse was last updated on August 12, 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.