MRS. LORI A STACKOW PAC
NPI 1467449835
Physician Assistant in Shreveport, LA

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment
1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000(318) 629-4833 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2023, Mar 24, 2017 (2 updates tracked since 2017).

About Mrs. Lori A Stackow Pac NPPES

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

MRS. LORI A STACKOW PAC (NPI 1467449835) is an individual physician assistant in Shreveport, Louisiana, licensed in Louisiana (332160) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Shreveport, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1467449835
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. LORI A STACKOWCredential: PAC
Location Address1541 KINGS HWYShreveport, LA 71103-4228
Mailing Address1512 W Kirby PlShreveport, LA 71103-3822 · (318) 626-0177
Fax(318) 629-4833
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 30, 2005
Last NPPES UpdateFebruary 22, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
NPI 1467449835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in LA · 332160 Licensed in TX · PA10687
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1541 KINGS HWY, Shreveport, LA 71103

Other Names 1

Former Name (1)Lori A Rudderow Pac

Secondary Practice Location 1

Location 16400 Fannin St Ste 2800Houston, TX 77030-1534 · Phone (713) 704-7100 · Fax (713) 704-1262

Other Identifiers 7

Other49008WA · Dept Of Labor And Industr
Medicaid8434896WA
Medicaid004385800ID
Medicaid153449704TX
OtherPAJB6ID · Blue Cross Of Id
Other000010017182ID · Regence Bs Of Id
Other601417200Deeioc

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

Mrs. Lori A Stackow Pac 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 ID2567548472
PECOS Enrollment IDI20220718003943
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 8

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 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.
126 services119 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
66 services65 patients
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.
37 services37 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
34 services33 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
33 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Ochsner Lsu Health Shreveport

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190098
Location1541 Kings HighwayShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Ochsner Lsu Health Shreveport-St Mary Medical Cent

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190317
Location911 Margaret PlaceShreveport, LA 71101 · Caddo County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
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.

Internal Medicine (Cardiovascular Disease)
1541 KINGS HWY
SHREVEPORT, LA 71103
Pediatrics
1541 KINGS HWY
SHREVEPORT, LA 71103
Pediatrics (Pediatric Pulmonology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Anesthesiology
1541 KINGS HWY
SHREVEPORT, LA 71103
Physician Assistant (Medical)
1541 KINGS HWY
SHREVEPORT, LA 71103
Internal Medicine (Interventional Cardiology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Radiology (Radiation Oncology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Psychiatry & Neurology (Neurology)
1541 KINGS HWY
SHREVEPORT, LA 71103

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 Lori Stackow's NPI number?

The NPI number for Lori Stackow is 1467449835. It was assigned to this individual provider in the NPPES registry on September 30, 2005. The provider is also known as Lori A Rudderow Pac.

Where is Lori Stackow located?

Lori Stackow practices at 1541 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0000.

What is Lori Stackow's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lori Stackow enrolled in Medicare?

Yes. Lori Stackow 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 Lori Stackow accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas and HMO Louisiana list Lori Stackow 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 Lori Stackow affiliated with any hospitals?

According to CMS data, Lori Stackow is affiliated with Ochsner Lsu Health Shreveport and Ochsner Lsu Health Shreveport-St Mary Medical Cent.

When was this NPI record last updated?

The NPPES record for Lori Stackow was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.