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STACEY PAULT PA-C
NPI 1356621643
Physician Assistant - Medical in Soldotna, AK

Active since August 18, 2011PECOS EnrolledAccepts Medicare Assignment
230 E MARYDALE AVE, SOLDOTNA, AK 99669(907) 262-3119(907) 262-9290 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 26, 2021, Feb 17, 2020 (2 updates tracked since 2020).

About Stacey Pault Pa-c NPPES

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

STACEY PAULT PA-C (NPI 1356621643) is an individual medical provider in Soldotna, Alaska, licensed in Alaska (127937) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pueblo, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1356621643
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSTACEY PAULTCredential: PA-C
Location Address230 E MARYDALE AVESoldotna, AK 99669-7648
Mailing Address230 E Marydale AveSoldotna, AK 99669-7648 · (907) 262-3119 · Fax (907) 262-9290
Phone(907) 262-3119
Fax(907) 262-9290
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 18, 2011
Last NPPES UpdateMarch 26, 20212 updates tracked since enumeration
NPPES CertifiedMarch 26, 2021
✔ NPI 1356621643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AK · 127937
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA-3281 (CO)
230 E MARYDALE AVE, Soldotna, AK 99669
Open in Google Maps ↗

Secondary Practice Location 1

Location 11339 S Pueblo BlvdPueblo, CO 81005-1686 · Phone (719) 564-9400

Other Identifiers 1

Medicaid1679563AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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

Stacey Pault Pa-c 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 ID7618238247
PECOS Enrollment IDI20180222002526
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 2

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
37 services23 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
26 services19 patients

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers19 claims42 services$6.07 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers18 claims18 services$8.51 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
1 supplier16 claims16 services$111.85 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$38.12 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$27.10 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers27 claims27 services$190.96 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.

MS. AMANDA CHRISTINE GARRICK L.C.S.W.
Social Worker (Clinical)
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-3119
LINDSAY HAYGOOD LCSW
Social Worker (Clinical)
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-3119
AMY DAWN-DAY LPC
Counselor (Mental Health)
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-3119
BARBARA RANSOM A.N.P.
Nurse Practitioner (Psychiatric/Mental Health)
230 E MARYDALE AVE, SUITE 2
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 260-3691
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.
Community/Behavioral Health
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-3119
DR. PAMELA ANN HAYS PH.D.
Psychologist (Clinical)
230 E MARYDALE AVE, SUITE 2
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 260-3691
ZACHARY MICHAEL HUOT DPT
Physical Therapist
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-3119
KRISTINA GOOLSBY LPC
Counselor (Professional)
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 260-3691

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 Stacey Pault's NPI number?

The NPI number for Stacey Pault is 1356621643. It was assigned to this individual provider in the NPPES registry on August 18, 2011.

Where is Stacey Pault located?

Stacey Pault practices at 230 E Marydale Ave, Soldotna, AK 99669. The listed phone number is (907) 262-3119.

What is Stacey Pault's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Stacey Pault enrolled in Medicare?

Yes. Stacey Pault 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 Stacey Pault accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Stacey Pault 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 Stacey Pault was last updated on March 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.