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DR. SONIA MARIE STASYSZYN MD
NPI 1154099869
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since August 30, 2021PECOS Enrolled
1 CHILDRENS WAY # 512-19A, LITTLE ROCK, AR 72202(501) 364-1874 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sonia Marie Stasyszyn Md NPPES

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

DR. SONIA MARIE STASYSZYN MD (NPI 1154099869) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154099869
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SONIA MARIE STASYSZYNCredential: MD
Location Address1 CHILDRENS WAY # 512-19ALittle Rock, AR 72202-3500
Mailing Address75 Riverfront Dr Apt 431North Little Rock, AR 72114-5776 · (443) 345-7318
Phone(501) 364-1874
Sole ProprietorYes
Enumeration DateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
✔ NPI 1154099869 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
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.

1 CHILDRENS WAY # 512-19A, Little Rock, AR 72202
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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)

Dr. Sonia Marie Stasyszyn Md 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.

GARY LACROIX MD
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
KAITLYN BURRICHTER FULFORD
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1874
PAIGE VICTORIA STREBECK MD
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1874
RACHEL MAYO MD
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1874
SKYE TAYLOR HECKMAN MD
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1874
MAKENZIE LAINE NIVEN MD
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1874
DR. ALEXIS MARIE DERRIGO MD
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1874
AMY EISENBERG MD
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1874

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 Sonia Stasyszyn's NPI number?

The NPI number for Sonia Stasyszyn is 1154099869. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Where is Sonia Stasyszyn located?

Sonia Stasyszyn practices at 1 Childrens Way # 512-19a, Little Rock, AR 72202. The listed phone number is (501) 364-1874.

What is Sonia Stasyszyn's specialty?

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

Is Sonia Stasyszyn enrolled in Medicare?

Yes. Sonia Stasyszyn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sonia Stasyszyn was last updated on August 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.