JILL ELLEN STACK PMHNP-BC
NPI 1215767975
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA

Active since August 06, 2024PECOS EnrolledAccepts Medicare Assignment
101 ELLIOTT AVE W STE 500, SEATTLE, WA 98119(808) 348-1472 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jill Ellen Stack Pmhnp-bc NPPES

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

JILL ELLEN STACK PMHNP-BC (NPI 1215767975) is an individual psychiatric/mental health provider in Seattle, Washington, licensed in Washington (AP61593905) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215767975
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJILL ELLEN STACKCredential: PMHNP-BC
Location Address101 ELLIOTT AVE W STE 500Seattle, WA 98119-4292
Mailing Address713 Sw 118th StSeattle, WA 98146-2830 · (808) 348-1472
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 6, 2024
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
NPI 1215767975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WA · AP61593905
101 ELLIOTT AVE W STE 500, Seattle, WA 98119

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jill Ellen Stack Pmhnp-bc 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.

PECOS PAC ID8729512132
PECOS Enrollment IDI20241107002475
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 98119 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119
Nurse Practitioner (Psychiatric/Mental Health)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119
Social Worker (Clinical)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119
Social Worker (Clinical)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119
Psychologist (Clinical)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119
Counselor (Mental Health)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119
Counselor (Mental Health)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119
Social Worker (Clinical)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215767975, enumerated as an "individual" on August 06, 2024.

The provider is located at 101 ELLIOTT AVE W STE 500 SEATTLE, WA 98119 and the phone number is (808) 348-1472.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Kaiser Permanente, Premera Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.