DIANA MINASIAN STULC M.D.
NPI 1225002165
Family Medicine in Jackson, MS

Q: What is Diana Stulc's NPI number?

The NPI number for Diana Stulc is 1225002165. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Q: What is Diana Stulc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Diana Stulc was last updated on December 21, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 16, 2006PECOS Enrolled

969 LAKELAND DR, JACKSON, MS 39216(615) 377-5658(888) 241-1404 Get Directions Write a Review

NPPES record last updated: December 21, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Diana Minasian Stulc M.d. NPPES

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

DIANA MINASIAN STULC M.D. (NPI 1225002165) is an individual family medicine provider in Jackson, Mississippi, licensed in Mississippi (20783) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225002165

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDIANA MINASIAN STULCCredential: M.D.

Location Address969 LAKELAND DRJackson, MS 39216-4606

Mailing Address5410 Maryland Way 300Brentwood, TN 37072-5064 · (615) 377-5658 · Fax (888) 241-1404

Phone(615) 377-5658

Fax(888) 241-1404

Sole ProprietorNo

Enumeration DateFebruary 16, 2006

Last NPPES UpdateDecember 21, 2009

✔ NPI 1225002165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MS · 20783✔ Licensed in KY · 36090

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

969 LAKELAND DR, Jackson, MS 39216

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Other Identifiers 6

Medicare PIN0992312KY

Medicare UPINH28750KY

Medicaid01139543MS

Medicare ID-Type Unspecified0965601KY · Linked To Group # 9656

Medicaid64024268KY

Medicare PIN302I087874MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Minasian Stulc M.d. 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 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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