1. Home
  2. Directory
  3. Colorado
  4. Windsor
  5. Counselor
  6. NPI Profile

MRS. STACIA J TAVERNER
NPI 1467635086
Counselor in Windsor, CO

Active since December 06, 2007PECOS EnrolledAccepts Medicare Assignment
1300 MAIN ST, WINDSOR, CO 80550(970) 810-5498(970) 810-5459 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Stacia J Taverner NPPES

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

MRS. STACIA J TAVERNER (NPI 1467635086) is an individual counselor in Windsor, Colorado and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1467635086
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. STACIA J TAVERNER
Location Address1300 MAIN STWindsor, CO 80550-5989
Mailing Address1300 Main StWindsor, CO 80550-5989 · (970) 481-7944
Phone(970) 810-5498
Fax(970) 810-5459
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 6, 2007
Last NPPES UpdateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
✔ NPI 1467635086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1300 MAIN ST, Windsor, CO 80550
Open in Google Maps ↗

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

Mrs. Stacia J Taverner 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 ID6709236656
PECOS Enrollment IDI20231219002028
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 Stacia Taverner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner Health Physicians Colorado LLC
Same address
Multi-Specialty
1300 MAIN ST
Windsor, CO 80550
  • Reassigned Medicare billing, Colorado enrollment
  • 324 clinicians in this Medicare group
NPI 1831476381 (970) 378-4475

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 20

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

DR. CASEY LEE SNODGRESS D.O.
Family Medicine
1300 MAIN ST
WINDSOR, CO 80550
Weld County (970) 686-5646
RYAN JOSEPH WILLIAMS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1300 MAIN ST
WINDSOR, CO 80550
Weld County (970) 686-5646
ALYSSA BAILEY STEINE PHARM.D.
Pharmacist
1300 MAIN ST
WINDSOR, CO 80550
Weld County (970) 686-5646
SUSAN GARVIN LCSW
Social Worker (Clinical)
1300 MAIN ST
WINDSOR, CO 80550
Weld County (970) 674-3158
TRINA ANNE KESSINGER MD
Family Medicine
1300 MAIN ST
WINDSOR, CO 80550
Weld County (970) 395-7878
KEVIN MICHAEL MORISSETTE DO
Family Medicine
1300 MAIN ST
WINDSOR, CO 80550
Weld County (970) 686-5646
ROBERT JOSPEH FLORES M.A., LPC
Counselor (Professional)
1300 MAIN ST
WINDSOR, CO 80550
Weld County (970) 810-3181
NOCO NEWCO, LLC
Clinic/Center (Multi-Specialty)
1300 MAIN ST
WINDSOR, CO 80550
Weld County (970) 686-5646

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 Stacia Taverner's NPI number?

The NPI number for Stacia Taverner is 1467635086. It was assigned to this individual provider in the NPPES registry on December 6, 2007.

Where is Stacia Taverner located?

Stacia Taverner practices at 1300 Main St, Windsor, CO 80550. The listed phone number is (970) 810-5498.

What is Stacia Taverner's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Stacia Taverner enrolled in Medicare?

Yes. Stacia Taverner 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 Stacia Taverner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacia Taverner reassigns Medicare benefits to Banner Health Physicians Colorado LLC (Windsor, CO). 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 Stacia Taverner'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 Stacia Taverner was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.