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

Q: What is Jill Stack's NPI number?

The NPI number for Jill Stack is 1215767975. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Q: What is Jill Stack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jill Stack was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 August 06, 2024PECOS Enrolled

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: August 09, 2026.

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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.

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

Phone(808) 348-1472

Sole ProprietorNo

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill Ellen Stack Pmhnp-bc 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.

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.

RILEY FLEET

Social Worker (Clinical)