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STACY D ROYALL NP-BC
NPI 1417500307
Nurse Practitioner in Radford, VA

Active since July 19, 2019PECOS EnrolledAccepts Medicare Assignment
401 W MAIN ST, RADFORD, VA 24141(540) 961-8300 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2020, Sep 25, 2019, Jul 19, 2019 (3 updates tracked since 2019).

About Stacy D Royall Np-bc NPPES

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

STACY D ROYALL NP-BC (NPI 1417500307) is an individual nurse practitioner in Radford, Virginia, licensed in Virginia (0024177404) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417500307
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACY D ROYALLCredential: NP-BC
Location Address401 W MAIN STRadford, VA 24141-1588
Mailing Address916 Kessler Mill RdSalem, VA 24153-3048 · (540) 505-8530
Phone(540) 961-8300
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 19, 2019
Last NPPES UpdateApril 20, 20203 updates tracked since enumeration
NPPES CertifiedApril 20, 2020
✔ NPI 1417500307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024177404
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
401 W MAIN ST, Radford, VA 24141
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Other Names 1

Former Name (1)Stacy D Goddard Rn

Secondary Practice Locations 2

Location 1916 Kessler Mill RdSalem, VA 24153-3048 · Phone (540) 505-8400
Location 2700 University City BlvdBlacksburg, VA 24060-2706 · Phone (540) 961-8300 · Fax (540) 961-8465

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

Stacy D Royall Np-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 ID2466887864
PECOS Enrollment IDI20200113001437
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 Reassignment

Medicare enrollment records show Stacy Royall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New River Valley Community Services
9.1 mi
Family Medicine
700 UNIVERSITY CITY BLVD
Blacksburg, VA 24060
  • Reassigned Medicare billing, Virginia enrollment
  • 90 clinicians in this Medicare group
NPI 1922633544 (540) 961-8300

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 24141 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN BARNETT LCSW
Social Worker (Clinical)
401 W MAIN ST
RADFORD, VA 24141
Radford City (540) 838-8000
MELISSA ANN CARRICO
Nurse Practitioner (Family)
401 W MAIN ST
RADFORD, VA 24141
Radford City (540) 838-8000
ELIZABETH DEL HOLLINGSWORTH LPC
Counselor (Professional)
401 W MAIN ST
RADFORD, VA 24141
Radford City (540) 838-8000
CHRISTINA WATTY LCSW
Social Worker (Clinical)
401 W MAIN ST
RADFORD, VA 24141
Radford City (540) 838-8000
CYNTHIA D RITCHEY LPC
Counselor (Professional)
401 W MAIN ST
RADFORD, VA 24141
Radford City (540) 838-8000
TAMMY DAVIDSON LPC
Counselor (Professional)
401 W MAIN ST
RADFORD, VA 24141
Radford City (540) 838-8000
MAURA LESKO LPC
Counselor (Professional)
401 W MAIN ST
RADFORD, VA 24141
Radford City (540) 838-8000
JESSICA OVERTURF LPC
Counselor (Professional)
401 W MAIN ST
RADFORD, VA 24141
Radford City (540) 838-8000

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 Stacy Royall's NPI number?

The NPI number for Stacy Royall is 1417500307. It was assigned to this individual provider in the NPPES registry on July 19, 2019. The provider is also known as Stacy D Goddard Rn.

Where is Stacy Royall located?

Stacy Royall practices at 401 W Main St, Radford, VA 24141. The listed phone number is (540) 961-8300.

What is Stacy Royall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stacy Royall enrolled in Medicare?

Yes. Stacy Royall 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 Stacy Royall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Royall reassigns Medicare benefits to New River Valley Community Services (Blacksburg, VA). 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 Stacy Royall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacy Royall was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.