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

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: November 01, 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.

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
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jill Stack reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Counseling Services For Wellbeing, Inc.
11 mi
Marriage & Family Therapist
15811 AMBAUM BLVD SW, SUITE 110
Burien, WA 98166
  • Reassigned Medicare billing, Washington enrollment
  • 57 clinicians in this Medicare group
NPI 1588080626 (206) 579-8825
Lightheart Associates Ps
12 mi
Psychologist
7902 168TH AVE NE, SUITE 101
Redmond, WA 98052
  • Reassigned Medicare billing, Washington enrollment
  • 69 clinicians in this Medicare group
NPI 1609221720 (425) 996-8592
Mindful Therapy Group PC
13 mi
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Washington enrollment
  • 777 clinicians in this Medicare group
NPI 1316238678 (425) 640-7009

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 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.

CHANICE JOHNSON
Counselor (Mental Health)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119
King County (425) 578-5144
RILEY FLEET
Social Worker (Clinical)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119
King County (425) 578-5144
DR. EVAN BYER PSY. D.
Psychologist (Clinical)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119
King County (206) 708-6432
DR. JESSICA L STRONG ARNP
Nurse Practitioner (Psychiatric/Mental Health)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119
King County (415) 483-9566
OLA CHINMA ANYANWU PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119
King County (214) 403-6744
REBECCA SAULS
Social Worker (Clinical)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119
King County (425) 578-5144
TARIRO MATSIKIRE
Nurse Practitioner (Psychiatric/Mental Health)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119
King County (603) 560-8833
ASHLEY ROSE CEDAR ARNP
Nurse Practitioner (Psychiatric/Mental Health)
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119
King County (206) 708-6432

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 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.

Where is Jill Stack located?

Jill Stack practices at 101 Elliott Ave W Ste 500, Seattle, WA 98119. The listed phone number is (808) 348-1472.

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.

Is Jill Stack enrolled in Medicare?

Yes. Jill Stack is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jill Stack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Stack reassigns Medicare benefits to 3 organizations: Counseling Services For Wellbeing, Inc. (Burien, WA), Lightheart Associates Ps (Redmond, WA) and Mindful Therapy Group PC (Mountlake Terrace, WA). Each 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 Jill Stack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jill Stack accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jill 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.

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 2 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.