STACI D. NATHAN NNP
NPI 1558361964
Nurse Practitioner - Neonatal in Dallas, TX
About Staci D. Nathan Nnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACI D. NATHAN NNP (NPI 1558361964) is an individual neonatal provider in Dallas, Texas, licensed in Texas (562328) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Staci D. Nathan Nnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
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 Staci Nathan's NPI number?
The NPI number for Staci Nathan is 1558361964. It was assigned to this individual provider in the NPPES registry on July 28, 2005.
Where is Staci Nathan located?
Staci Nathan practices at 5201 Harry Hines Blvd Medical Staff Services, Dallas, TX 75235. The listed phone number is (214) 590-8006.
What is Staci Nathan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Staci Nathan enrolled in Medicare?
Yes. Staci Nathan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Staci Nathan was last updated on November 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Staci D. Nathan, NNP · NPI 1558361964
Neonatal physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since July 28, 2005.
## Identity
- **NPI:** 1558361964 (Entity type: Individual)
- **Enumerated:** July 28, 2005
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 562328 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5201 HARRY HINES BLVD, MEDICAL STAFF SERVICES, Dallas, TX 75235-7708
- **Phone:** (214) 590-8006
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 22, 2008
- **Other identifiers:** Medicare PIN 8J0407; Other 8Y0827 (TX); Medicare UPIN Q74506; and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1558361964) · Data from the CMS NPPES public registry.