AMANDA STACEY PA-C
NPI 1619461126
Physician Assistant in Silver Spring, MD

Q: What is Amanda Stacey's NPI number?

The NPI number for Amanda Stacey is 1619461126. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Q: What is Amanda Stacey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Stacey was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 18, 2018PECOS EnrolledAccepts Medicare Assignment

2415 MUSGROVE RD STE 203, SILVER SPRING, MD 20904(301) 989-2300(301) 236-5357 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2025, Nov 11, 2024, Jun 16, 2023 and 1 more (4 updates tracked since 2018).

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About Amanda Stacey Pa-c NPPES

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

AMANDA STACEY PA-C (NPI 1619461126) is an individual physician assistant in Silver Spring, Maryland, licensed in Maryland (C0008911) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Timonium, and is a graduate of Stanford University School Of Medicine (2023).

NPPES Registry Identity

NPI1619461126

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMANDA STACEYCredential: PA-C

Location Address2415 MUSGROVE RD STE 203Silver Spring, MD 20904-5228

Mailing Address2415 Musgrove Rd Ste 203Silver Spring, MD 20904-5228 · (301) 989-2300 · Fax (301) 236-5357

Phone(301) 989-2300

Fax(301) 236-5357

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 2023

Enumeration DateJune 18, 2018

Last NPPES UpdateJanuary 9, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1619461126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MD · C0008911

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2415 MUSGROVE RD STE 203, Silver Spring, MD 20904

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Secondary Practice Location 1

Location 11954 Greenspring Dr Ste 530Timonium, MD 21093-4192 · Phone (667) 668-2566

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Stacey Pa-c 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 ID3779021712

PECOS Enrollment IDI20240821002308

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

56 services50 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20904 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

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 7

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

PRIVIA MEDICAL GROUP, LLC

Otolaryngology