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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 UpdateSeptember 29, 2026
✔ 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 2

Medicaid64024268KY
Medicaid01139543MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Diana Stulc reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Peter's Hospital Of The City Of Albany
1,141 mi
Audiologist
1240 NEW SCOTLAND ROAD, SUITE 100
Slingerlands, NY 12159
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 clinicians in this Medicare group
NPI 1073686069 (518) 475-1818
Samaritan Hospital Of Troy, New York
1,152 mi
General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
NPI 1043267727 (518) 271-3300

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 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.

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.

HNI MEDICAL SERVICES OF MISSISSIPPI, LLC
Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-2000
ST. DOMINIC-JACKSON MEMORIAL HOSPITAL
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-6000
TAMECIA HERBERT NURSE PRACTITIONER
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 622-7749
ZACHARY HALLIWELL CRNA
Nurse Anesthetist, Certified Registered
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-2000
BRITTANY BOYKIN FNP-C
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-5900
LISA PARKER
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-2000
SARAH D BAKER
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-2000
MARSHALL JAMES STOUT M.D.
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-2000

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 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.

Where is Diana Stulc located?

Diana Stulc practices at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (615) 377-5658.

What is Diana Stulc's specialty?

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

Is Diana Stulc enrolled in Medicare?

Yes. Diana Stulc is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Diana Stulc's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Stulc reassigns Medicare benefits to 2 organizations: St. Peter's Hospital Of The City Of Albany (Slingerlands, NY) and Samaritan Hospital Of Troy, New York (Troy, NY). 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 Diana Stulc's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diana Stulc accept?

Health plans from Anthem Blue Cross and Blue Shield list Diana Stulc 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 Diana Stulc was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.