SANDRA JO STACK APRN-FNP-BC
NPI 1235788845
Nurse Practitioner - Family in Beckley, WV

Active since September 06, 2019PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
250 STANAFORD RD, BECKLEY, WV 25801(304) 255-2668 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2019, Sep 6, 2019 (2 updates tracked since 2019).

About Sandra Jo Stack Aprn-fnp-bc NPPES

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

SANDRA JO STACK APRN-FNP-BC (NPI 1235788845) is an individual family provider in Beckley, West Virginia, licensed in West Virginia (104460) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Camc Greenbrier Valley Medical Center, Inc, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235788845
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDRA JO STACKCredential: APRN-FNP-BC
Location Address250 STANAFORD RDBeckley, WV 25801-3140
Mailing Address250 Stanaford Rd Ste 106Beckley, WV 25801-3140 · (304) 255-2668
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 6, 2019
Last NPPES UpdateSeptember 10, 20192 updates tracked since enumeration
NPI 1235788845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WV · 104460
250 STANAFORD RD, Beckley, WV 25801

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

Sandra Jo Stack Aprn-fnp-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 ID6406188655
PECOS Enrollment IDI20191021003634
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Camc Greenbrier Valley Medical Center, Inc

Acute Care Hospitals · Ronceverte, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510002
Location1320 Maplewood AvenueRonceverte, WV 24970 · Greenbrier County
Emergency services Birthing friendly

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Beckley Arh Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510062
Location306 Stanaford RoadBeckley, WV 25801 · Raleigh County
Emergency services

Raleigh General Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number510070
Location1710 Harper RoadBeckley, WV 25801 · Raleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25801 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers40 claims40 services$85.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
250 STANAFORD RD
BECKLEY, WV 25801
Surgery
250 STANAFORD RD
BECKLEY, WV 25801
Surgery
250 STANAFORD RD
BECKLEY, WV 25801
Physical Therapist
250 STANAFORD RD
BECKLEY, WV 25801
Surgery (Vascular Surgery)
250 STANAFORD RD, SUITE 202
BECKLEY, WV 25801
Psychiatry & Neurology (Psychiatry)
250 STANAFORD RD, SUITE 106
BECKLEY, WV 25801
Surgery
250 STANAFORD RD
BECKLEY, WV 25801
Surgery
250 STANAFORD RD
BECKLEY, WV 25801

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 Sandra Stack's NPI number?

The NPI number for Sandra Stack is 1235788845. It was assigned to this individual provider in the NPPES registry on September 6, 2019.

Where is Sandra Stack located?

Sandra Stack practices at 250 Stanaford Rd, Beckley, WV 25801. The listed phone number is (304) 255-2668.

What is Sandra Stack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sandra Stack enrolled in Medicare?

Yes. Sandra Stack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sandra Stack accept?

Health plans from CareSource list Sandra 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.

Is Sandra Stack affiliated with any hospitals?

According to CMS data, Sandra Stack is affiliated with Camc Greenbrier Valley Medical Center, Inc, Charleston Area Medical Center, Beckley Arh Hospital and Raleigh General Hospital.

When was this NPI record last updated?

The NPPES record for Sandra Stack was last updated on September 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.