DR. STACEY ANN CLARK D.C.
NPI 1699891580
Chiropractor in Lyndonville, VT
About Dr. Stacey Ann Clark D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STACEY ANN CLARK D.C. (NPI 1699891580) is an individual chiropractor in Lyndonville, Vermont, licensed in Vermont (006-0001158) and active in the NPI registry since March 2007. She is a graduate of Palmer College Chiropractic - Davenport (2004).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Stacey Ann Clark D.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.
Medicare Billing Reassignment
Medicare enrollment records show Stacey Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lyndonville, VT 05851
- Reassigned Medicare billing, Vermont enrollment
- 3 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.
Areas of Expertise CMS Part B claims
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Clark's NPI number?
The NPI number for Stacey Clark is 1699891580. It was assigned to this individual provider in the NPPES registry on March 22, 2007.
Where is Stacey Clark located?
Stacey Clark practices at 11 Hill St, Lyndonville, VT 05851. The listed phone number is (802) 626-5866.
What is Stacey Clark's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Stacey Clark enrolled in Medicare?
Yes. Stacey Clark 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 Stacey Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Clark reassigns Medicare benefits to Lyndonville Family Chiropractic, Inc. (Lyndonville, VT). 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 Stacey Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Clark accept?
Health plans from Anthem Blue Cross and Blue Shield list Stacey Clark 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.
When was this NPI record last updated?
The NPPES record for Stacey Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Stacey Ann Clark, D.C. · NPI 1699891580
Chiropractor provider in Lyndonville, Vermont. Individual provider, active in the CMS NPPES registry since March 22, 2007.
## Identity
- **NPI:** 1699891580 (Entity type: Individual)
- **Enumerated:** March 22, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 006-0001158 (Vermont)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11 HILL ST, Lyndonville, VT 05851-8911
- **Phone:** (802) 626-5866 · **Fax:** (802) 626-0980
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Lyndonville Family Chiropractic, Inc. (NPI 1326254657, Lyndonville, VT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 2004
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1699891580) · Data from the CMS NPPES public registry.