STANLEY R EASTERLING MD
NPI 1154359818
Family Medicine in Vicksburg, MS
About Stanley R Easterling Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STANLEY R EASTERLING MD (NPI 1154359818) is an individual family medicine provider in Vicksburg, Mississippi, licensed in Mississippi (10687) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stanley R Easterling Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stanley Easterling reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vicksburg, MS 39180
- Reassigned Medicare billing, Mississippi enrollment
- 41 clinicians in this Medicare group
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 39183 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VICKSBURG, MS 39183
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 Stanley Easterling's NPI number?
The NPI number for Stanley Easterling is 1154359818. It was assigned to this individual provider in the NPPES registry on June 29, 2006.
Where is Stanley Easterling located?
Stanley Easterling practices at 104 Mcauley Dr, Vicksburg, MS 39183. The listed phone number is (601) 638-7271.
What is Stanley Easterling's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Stanley Easterling enrolled in Medicare?
Yes. Stanley Easterling is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stanley Easterling's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stanley Easterling reassigns Medicare benefits to Vicksburg Clinic LLC (Vicksburg, MS). The 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 Stanley Easterling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stanley Easterling accept?
Health plans from Cigna Healthcare, Molina Healthcare and Oscar Health Plan, Inc. list Stanley Easterling 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 Stanley Easterling was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.
# Stanley R Easterling, MD · NPI 1154359818
Family Medicine physician in Vicksburg, Mississippi. Individual provider, active in the CMS NPPES registry since June 29, 2006.
## Identity
- **NPI:** 1154359818 (Entity type: Individual)
- **Enumerated:** June 29, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 10687 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 104 MCAULEY DR, Vicksburg, MS 39183-2825
- **Phone:** (601) 638-7271
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Vicksburg Clinic LLC (NPI 1659307791, Vicksburg, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Other 4216184 (MS); Medicaid 1383872 (LA); Medicaid 00114107 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1154359818) · Data from the CMS NPPES public registry.