STACY R. MORETTA P.A.
NPI 1639309461
Physician Assistant - Medical in Irving, TX

Q: What is Stacy Moretta's NPI number?

The NPI number for Stacy Moretta is 1639309461. It was assigned to this individual provider in the NPPES registry on July 14, 2009.

Q: What is Stacy Moretta's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Moretta was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 July 14, 2009PECOS Enrolled

6161 N STATE HIGHWAY 161, IRVING, TX 75038(972) 258-7499(972) 257-0897 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stacy R. Moretta P.a. NPPES

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

STACY R. MORETTA P.A. (NPI 1639309461) is an individual medical provider in Irving, Texas, licensed in Texas (PA06061) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bellaire, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1639309461

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSTACY R. MORETTACredential: P.A.

Location Address6161 N STATE HIGHWAY 161Irving, TX 75038

Mailing Address6161 N State Highway 161Irving, TX 75038-2220 · (972) 258-7499 · Fax (972) 257-0897

Phone(972) 258-7499

Fax(972) 257-0897

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJuly 14, 2009

Last NPPES UpdateOctober 22, 2025

NPPES CertifiedOctober 22, 2025

✔ NPI 1639309461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA06061

6161 N STATE HIGHWAY 161, Irving, TX 75038

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Secondary Practice Location 1

Location 16565 West Loop S Ste 525Bellaire, TX 77401-3519 · Phone (346) 971-4050

Other Identifiers 1

Other467551YZNATX · Medicare Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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 R. Moretta P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123252244

PECOS Enrollment IDI20160119001877

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 5

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.

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.

64 services59 patients

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.

32 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

19 services19 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

15 services15 patients

Other Providers at the Same Location NPPES 13

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

MIMI SONG IDICULA NP

Nurse Practitioner