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STACY ECHETEBU MD
NPI 1528497955
Pediatrics in Tyler, TX

Active since November 06, 2013PECOS Enrolled
1000 E 5TH ST STE 100, TYLER, TX 75701(903) 590-5000(903) 590-5005 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 7, 2022, May 19, 2022 (2 updates tracked since 2022).

About Stacy Echetebu Md NPPES

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

STACY ECHETEBU MD (NPI 1528497955) is an individual pediatrics provider in Tyler, Texas, licensed in Texas (V7505) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2025).

NPPES Registry Identity

NPI1528497955
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSTACY ECHETEBUCredential: MD
Location Address1000 E 5TH ST STE 100Tyler, TX 75701-3307
Mailing Address1000 E 5th St Ste 100Tyler, TX 75701-3307 · (903) 590-5000 · Fax (903) 590-5005
Phone(903) 590-5000
Fax(903) 590-5005
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2025
Enumeration DateNovember 6, 2013
Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1528497955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · V7505
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1000 E 5TH ST STE 100, Tyler, TX 75701
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Other Names 1

Former Name (1)Stacy Angu

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Echetebu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901305911
PECOS Enrollment IDI20250818000859
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 4

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

KRISTINA OREY MITCHELL M.D.
Pediatrics
1000 E 5TH ST STE 100
TYLER, TX 75701
Smith County (903) 596-3862
JAMES RILEY DAVIS DO
Pediatrics
1000 E 5TH ST STE 100
TYLER, TX 75701
Smith County (903) 590-5000
DR. TIFFANY HILL MD
Pediatrics
1000 E 5TH ST STE 100
TYLER, TX 75701
Smith County (903) 590-5000
LAUREN STANLEY FNP-BC
Nurse Practitioner (Family)
1000 E 5TH ST STE 100
TYLER, TX 75701
Smith County (903) 596-3500

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 Echetebu's NPI number?

The NPI number for Stacy Echetebu is 1528497955. It was assigned to this individual provider in the NPPES registry on November 6, 2013. The provider is also known as Stacy Angu.

Where is Stacy Echetebu located?

Stacy Echetebu practices at 1000 E 5th St Ste 100, Tyler, TX 75701. The listed phone number is (903) 590-5000.

What is Stacy Echetebu's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stacy Echetebu enrolled in Medicare?

Yes. Stacy Echetebu is registered in the Medicare PECOS enrollment system.

What insurance does Stacy Echetebu accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Stacy Echetebu 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 Echetebu was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.