MRS. STACEY HARRIS TADLOCK FNP-BC
NPI 1639684848
Nurse Practitioner - Family in Williamsburg, VA

Active since December 11, 2017PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
500 SENTARA CIR STE 202, WILLIAMSBURG, VA 23188(757) 984-9850 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Jul 22, 2022, Mar 2, 2022 and 1 more (4 updates tracked since 2017).

About Mrs. Stacey Harris Tadlock Fnp-bc NPPES

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

MRS. STACEY HARRIS TADLOCK FNP-BC (NPI 1639684848) is an individual family provider in Williamsburg, Virginia, licensed in Virginia (0024175455) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, is affiliated with Sentara Williamsburg Regional Medical Center, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2017).

NPPES Registry Identity

NPI1639684848
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. STACEY HARRIS TADLOCKCredential: FNP-BC
Location Address500 SENTARA CIR STE 202Williamsburg, VA 23188-5727
Mailing Address500 Sentara Cir Ste 202Williamsburg, VA 23188-5727 · (757) 984-9850
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2017
Enumeration DateDecember 11, 2017
Last NPPES UpdateDecember 6, 20234 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
NPI 1639684848 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 VA · 0024175455
500 SENTARA CIR STE 202, Williamsburg, VA 23188

Other Names 1

Other Name (5)Stacey Harris Tadlock

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

Mrs. Stacey Harris Tadlock Fnp-bc 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 ID4981967122
PECOS Enrollment IDI20180420001880
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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
65 services56 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23188 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Surgery
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188
Nurse Practitioner (Family)
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188
Surgery
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188
Surgery
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188
Surgery
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188
Surgery
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188
Surgery
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188
Surgery
500 SENTARA CIR STE 202
WILLIAMSBURG, VA 23188

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 Stacey Tadlock's NPI number?

The NPI number for Stacey Tadlock is 1639684848. It was assigned to this individual provider in the NPPES registry on December 11, 2017. The provider is also known as Stacey Harris Tadlock.

Where is Stacey Tadlock located?

Stacey Tadlock practices at 500 Sentara Cir Ste 202, Williamsburg, VA 23188. The listed phone number is (757) 984-9850.

What is Stacey Tadlock's specialty?

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

Is Stacey Tadlock enrolled in Medicare?

Yes. Stacey Tadlock 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.

Is Stacey Tadlock affiliated with any hospitals?

According to CMS data, Stacey Tadlock is affiliated with Sentara Williamsburg Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Stacey Tadlock was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.