BRENDA STACK NP
NPI 1164851259
Nurse Practitioner in Sayre, PA
About Brenda Stack Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENDA STACK NP (NPI 1164851259) is an individual nurse practitioner in Sayre, Pennsylvania, licensed in Pennsylvania (SP013188) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brenda Stack Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Brenda Stack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Athens, PA 18810
- Reassigned Medicare billing, Pennsylvania and New York enrollments
- Medicare enrollment name: Guthrie Medical Group PC
- Also billed through NPI 1245246644 (New York)
- 830 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.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Our Lady Of Lourdes Memorial Hospital, Inc
Acute Care Hospitals · Binghamton, NYCorning Hospital
Acute Care Hospitals · Corning, NYRobert Packer Hospital
Acute Care Hospitals · Sayre, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SAYRE, PA 18840
SAYRE, PA 18840
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 Brenda Stack's NPI number?
The NPI number for Brenda Stack is 1164851259. It was assigned to this individual provider in the NPPES registry on November 8, 2013.
Where is Brenda Stack located?
Brenda Stack practices at 1 Guthrie Sq, Sayre, PA 18840. The listed phone number is (570) 888-5858.
What is Brenda Stack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Brenda Stack enrolled in Medicare?
Yes. Brenda Stack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Brenda Stack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Stack reassigns Medicare benefits to Guthrie Medical Group, P.C. (Athens, PA). 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 Brenda Stack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brenda Stack accept?
Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Brenda Stack 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.
Is Brenda Stack affiliated with any hospitals?
According to CMS data, Brenda Stack is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Corning Hospital and Robert Packer Hospital.
When was this NPI record last updated?
The NPPES record for Brenda Stack was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Brenda Stack, NP · NPI 1164851259
Nurse Practitioner physician in Sayre, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 8, 2013.
## Identity
- **NPI:** 1164851259 (Entity type: Individual)
- **Enumerated:** November 8, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP013188 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 GUTHRIE SQ, Sayre, PA 18840-1625
- **Phone:** (570) 888-5858
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Guthrie Medical Group, P.C. (NPI 1962451153, Athens, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** March 5, 2021
- **Other identifiers:** Other SP013188 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1164851259) · Data from the CMS NPPES public registry.