HALO MEDICAL & AESTHETICS LLC
NPI 1710836614
General Practice in Gilbert, WV

Active since January 23, 2026CLIA 51D2338866 · Waiver
2642 US 52, GILBERT, WV 25621(304) 784-3649(304) 223-7654 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Halo Medical & Aesthetics Llc NPPES

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

HALO MEDICAL & AESTHETICS LLC (NPI 1710836614) is a healthcare organization registered as a general practice in Gilbert, West Virginia and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Candice Stacy, Owner, Fnp-bc, as its authorized official.

NPPES Registry Identity

NPI1710836614
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameHALO MEDICAL & AESTHETICS LLC
Location Address2642 US 52Gilbert, WV 25621
Mailing Address2642 Us 52Gilbert, WV 25621 · (304) 784-3649 · Fax (304) 223-7654
Fax(304) 223-7654
Organization SubpartNo
Authorized OfficialCandice StacyOwner, Fnp-bc · (304) 784-3649
Enumeration DateJanuary 23, 2026
NPPES CertifiedJanuary 21, 2026
✔ NPI 1710836614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2642 US 52, Gilbert, WV 25621

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Halo Medical & Aesthetics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Halo Medical & Aesthetics LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1841691821
1 PIONEER PATH
Man, WV 25635
(304) 583-7295
✔ PECOS8.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2338866

Halo Medical & Aesthetics LLC · Gilbert, WV
Active · expires Feb 18, 2028
CLIA Number51D2338866
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorCandice Stacy
Laboratory Phone(304) 784-3649
Laboratory LocationHalo Medical & Aesthetics LLC2642 Us 52, Gilbert, WV 25621
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Halo Medical & Aesthetics LLC's NPI number?

The NPI number for Halo Medical & Aesthetics LLC is 1710836614. It was assigned to this organization in the NPPES registry on January 23, 2026.

Where is Halo Medical & Aesthetics LLC located?

Halo Medical & Aesthetics LLC is located at 2642 Us 52, Gilbert, WV 25621. The listed phone number is (304) 784-3649.

What is Halo Medical & Aesthetics LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Halo Medical & Aesthetics LLC enrolled in Medicare?

Yes. Halo Medical & Aesthetics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Halo Medical & Aesthetics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Halo Medical & Aesthetics LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Halo Medical & Aesthetics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2338866) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Halo Medical & Aesthetics LLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Halo Medical & Aesthetics LLC 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 Halo Medical & Aesthetics LLC was last updated on January 23, 2026. 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.