STACY L JUSTICE FNP-BC
NPI 1699076547
Nurse Practitioner - Family in Logan, WV

Active since November 09, 2010PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: January 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 17, 2018, Mar 28, 2017 (2 updates tracked since 2017).

About Stacy L Justice Fnp-bc NPPES

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

STACY L JUSTICE FNP-BC (NPI 1699076547) is an individual family provider in Logan, West Virginia, licensed in West Virginia (62349) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1699076547
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY L JUSTICECredential: FNP-BC
Location Address557 MAIN STLogan, WV 25601-3809
Mailing AddressPo Box 390Huntington, WV 25708-0390 · (304) 429-1088 · Fax (304) 696-1623
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 9, 2010
Last NPPES UpdateJanuary 17, 20182 updates tracked since enumeration
NPI 1699076547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WV · 62349
Also ListedNurse PractitionerTaxonomy 363L00000X · License 62349 (WV)
557 MAIN ST, Logan, WV 25601

Accepted Insurance

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

Stacy L Justice 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 ID2860676624
PECOS Enrollment IDI20110404000222
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Measurement of alcohol level in breath specimen 82075
Measurement of alcohol level in a breath specimen is a non-invasive procedure to estimate blood alcohol content. It involves blowing into a device, called a breathalyzer, which analyzes the alcohol concentration in your breath. It helps determine if alcohol use is within legal and safe limits.
137 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25601 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

Family Medicine
557 MAIN ST
LOGAN, WV 25601
Nurse Practitioner
557 MAIN ST
LOGAN, WV 25601
Counselor (Professional)
557 MAIN ST
LOGAN, WV 25601
Internal Medicine
557 MAIN ST
LOGAN, WV 25601
Nurse Practitioner (Family)
557 MAIN ST
LOGAN, WV 25601
Nurse Practitioner (Family)
557 MAIN ST
LOGAN, WV 25601
Clinic/Center (Rural Health)
557 MAIN ST
LOGAN, WV 25601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699076547, enumerated as an "individual" on November 09, 2010.

The provider is located at 557 MAIN ST LOGAN, WV 25601 and the phone number is (304) 752-3435.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.