STACI KOETTER LPC-S
NPI 1366089054
Counselor - Professional in Wichita Falls, TX
About Staci Koetter Lpc-s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACI KOETTER LPC-S (NPI 1366089054) is an individual professional provider in Wichita Falls, Texas and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Staci Koetter Lpc-s 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.
Medicare Billing Reassignment
Medicare enrollment records show Staci Koetter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wichita Falls, TX 76302
- Reassigned Medicare billing, Texas enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Staci Koetter's NPI number?
The NPI number for Staci Koetter is 1366089054. It was assigned to this individual provider in the NPPES registry on December 2, 2019.
Where is Staci Koetter located?
Staci Koetter practices at 1501 Brook Ave, Wichita Falls, TX 76301. The listed phone number is (940) 723-4488.
What is Staci Koetter's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Staci Koetter enrolled in Medicare?
Yes. Staci Koetter 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.
Which organization bills Medicare for Staci Koetter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Staci Koetter reassigns Medicare benefits to Micah Boyer MD (Wichita Falls, TX). The 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 Staci Koetter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Staci Koetter accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Staci Koetter 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 Staci Koetter was last updated on September 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 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.
# Staci Koetter, LPC-S · NPI 1366089054
Professional provider in Wichita Falls, Texas. Individual provider, active in the CMS NPPES registry since December 2, 2019.
## Identity
- **NPI:** 1366089054 (Entity type: Individual)
- **Enumerated:** December 2, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1501 BROOK AVE, Wichita Falls, TX 76301-5657
- **Phone:** (940) 723-4488
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Micah Boyer MD (NPI 1114564085, Wichita Falls, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366089054) · Data from the CMS NPPES public registry.