DR. STACY D CONVILLE MD
NPI 1497702880
Family Medicine in Ruston, LA

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
902 S VIENNA ST, RUSTON, LA 71270(318) 551-4311(318) 551-4355 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Stacy D Conville Md NPPES

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

DR. STACY D CONVILLE MD (NPI 1497702880) is an individual family medicine provider in Ruston, Louisiana, licensed in Louisiana (026106) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1497702880
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STACY D CONVILLECredential: MD
Location Address902 S VIENNA STRuston, LA 71270-5830
Mailing Address902 S Vienna StRuston, LA 71270-5830 · (318) 551-4355 · Fax (318) 551-4335
Fax(318) 551-4355
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateMay 30, 2006
Last NPPES UpdateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
✔ NPI 1497702880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 026106
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
902 S VIENNA ST, Ruston, LA 71270

Other Identifiers 1

Medicaid1052931LA

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

Dr. Stacy D Conville Md 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 ID9537186069
PECOS Enrollment IDI20051025000079
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 Reassignments

2

Medicare enrollment records show Stacy Conville reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Family Medicine
902 S VIENNA ST
Ruston, LA 71270
  • Reassigned Medicare billing, Louisiana enrollment
  • 2 clinicians in this Medicare group
Clinic/Center
103 WATTS ST
Jonesboro, LA 71251
  • Reassigned Medicare billing, Louisiana enrollment
  • 10 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71270 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
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 5

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

Family Medicine
902 S VIENNA ST
RUSTON, LA 71270
Family Medicine
902 S VIENNA ST
RUSTON, LA 71270
Nurse Practitioner (Family)
902 S VIENNA ST
RUSTON, LA 71270
Physician Assistant
902 S VIENNA ST
RUSTON, LA 71270
Family Medicine
902 S VIENNA ST
RUSTON, LA 71270

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 Conville's NPI number?

The NPI number for Stacy Conville is 1497702880. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Stacy Conville located?

Stacy Conville practices at 902 S Vienna St, Ruston, LA 71270. The listed phone number is (318) 551-4311.

What is Stacy Conville's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stacy Conville enrolled in Medicare?

Yes. Stacy Conville 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 organizations bill Medicare for Stacy Conville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Conville reassigns Medicare benefits to 2 organizations: Adala Health, LLC (Ruston, LA) and Louisiana Family Medicine Clinic 1 (Jonesboro, LA). Each 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 Conville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Conville accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Stacy Conville 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 Stacy Conville was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.