STACY ANN GALLEGOS FNP
NPI 1568987071
Nurse Practitioner - Family in Fairfield, TX

Active since August 04, 2017PECOS EnrolledAccepts Medicare Assignment
734 W COMMERCE ST, FAIRFIELD, TX 75840(903) 389-2181 Get Directions Write a Review

NPPES record last updated: August 4, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stacy Ann Gallegos Fnp NPPES

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

STACY ANN GALLEGOS FNP (NPI 1568987071) is an individual family provider in Fairfield, Texas, licensed in Texas (AP134740) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568987071
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY ANN GALLEGOSCredential: FNP
Location Address734 W COMMERCE STFairfield, TX 75840-1428
Mailing Address154 Talford StFairfield, TX 75840-2102 · (903) 390-2708
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 4, 2017
✔ NPI 1568987071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP134740
734 W COMMERCE ST, Fairfield, TX 75840

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

Stacy Ann Gallegos Fnp 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 ID1052686052
PECOS Enrollment IDI20171002000091
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 Stacy Gallegos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
125 NEWMAN ST
Fairfield, TX 75840
  • Reassigned Medicare billing, Texas enrollment
  • 24 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.

Hospital Affiliations CMS Care Compare 3

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Navarro Regional Hospital

Acute Care Hospitals · Corsicana, TX
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450447
Location3201 West Highway 22Corsicana, TX 75110 · Navarro County
Emergency services Birthing friendly

Freestone Medical Center

Acute Care Hospitals · Fairfield, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450658
Location125 Newman StFairfield, TX 75840 · Freestone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75840 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%3,411 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
15%303 patients1/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$20.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers30 claims30 services$109.14 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$24.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Rural Health)
734 W COMMERCE ST, SUITE C
FAIRFIELD, TX 75840
Family Medicine
734 W COMMERCE ST
FAIRFIELD, TX 75840
Nurse Practitioner (Family)
734 W COMMERCE ST
FAIRFIELD, TX 75840
Physician Assistant (Medical)
734 W COMMERCE ST
FAIRFIELD, TX 75840
Hospice Care, Community Based
734 W COMMERCE ST
FAIRFIELD, TX 75840
Nurse Practitioner (Family)
734 W COMMERCE ST
FAIRFIELD, TX 75840
Home Health
734 W COMMERCE ST, SUITE B
FAIRFIELD, TX 75840
Family Medicine
734 W COMMERCE ST
FAIRFIELD, TX 75840

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 Gallegos's NPI number?

The NPI number for Stacy Gallegos is 1568987071. It was assigned to this individual provider in the NPPES registry on August 4, 2017.

Where is Stacy Gallegos located?

Stacy Gallegos practices at 734 W Commerce St, Fairfield, TX 75840. The listed phone number is (903) 389-2181.

What is Stacy Gallegos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacy Gallegos enrolled in Medicare?

Yes. Stacy Gallegos 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 Stacy Gallegos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Gallegos reassigns Medicare benefits to Fairfield Hospital District (Fairfield, TX). 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 Stacy Gallegos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Gallegos 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 2 other insurers list Stacy Gallegos 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 Stacy Gallegos affiliated with any hospitals?

According to CMS data, Stacy Gallegos is affiliated with Ascension Providence, Navarro Regional Hospital and Freestone Medical Center.

When was this NPI record last updated?

The NPPES record for Stacy Gallegos was last updated on August 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.