Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACY JEAN MAYNARD DO
NPI 1144076720
Student in an Organized Health Care Education/Training Program in Billings, MT

Q: What is Stacy Maynard's NPI number?

The NPI number for Stacy Maynard is 1144076720. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Q: What is Stacy Maynard's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Maynard was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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 April 25, 2024PECOS Enrolled

123 S 27TH ST, BILLINGS, MT 59101(406) 247-3350(406) 247-3389 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2026, Apr 25, 2024 (2 updates tracked since 2024).

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About Stacy Jean Maynard Do NPPES

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

STACY JEAN MAYNARD DO (NPI 1144076720) is an individual student in an organized health care education/training program in Billings, Montana, licensed in Montana (143165) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144076720

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSTACY JEAN MAYNARDCredential: DO

Location Address123 S 27TH STBillings, MT 59101-4227

Mailing Address123 S 27th StBillings, MT 59101-4227 · (406) 247-3350 · Fax (406) 247-3389

Phone(406) 247-3350

Fax(406) 247-3389

Sole ProprietorYes

Enumeration DateApril 25, 2024

Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1144076720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MT · 143165

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

123 S 27TH ST, Billings, MT 59101

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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)

Stacy Jean Maynard Do 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.

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.

KARMEN HAMMERMEISTER RN

Registered Nurse