STACEY JANTZEN AGACNP-BC
NPI 1760056527
Nurse Practitioner in Mansfield, TX

Active since May 17, 2021PECOS Enrolled
93.65/100
CMS Quality Rating
2700 E BROAD ST, MANSFIELD, TX 76063(682) 242-6440(682) 242-6445 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2021, May 17, 2021 (2 updates tracked since 2021).

About Stacey Jantzen Agacnp-bc NPPES

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

STACEY JANTZEN AGACNP-BC (NPI 1760056527) is an individual nurse practitioner in Mansfield, Texas, licensed in Texas (1017499) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Methodist Mansfield Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1760056527
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACEY JANTZENCredential: AGACNP-BC
Location Address2700 E BROAD STMansfield, TX 76063-5899
Mailing Address816 W Cannon StFort Worth, TX 76104-3194 · (817) 321-0391
Fax(682) 242-6445
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 17, 2021
Last NPPES UpdateAugust 9, 20212 updates tracked since enumeration
NPPES CertifiedAugust 9, 2021
NPI 1760056527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TX · 1017499
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1017499 (TX)
2700 E BROAD ST, Mansfield, TX 76063

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stacey Jantzen Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800290776
PECOS Enrollment IDI20210814000436
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 11

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.

Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
145 services30 patients
Aspiration of fluid from chest cavity using imaging guidance 32555
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
48 services39 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
33 services29 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
28 services26 patients
Review by radiologist of ct guidance for needle placement 77012
This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.
24 services24 patients
Insertion of tunneled central venous tube for infusion (5 years or older) 36558
The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

93.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.53
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Internal Medicine
2700 E BROAD ST
MANSFIELD, TX 76063
Nurse Practitioner
2700 E BROAD ST
MANSFIELD, TX 76063
Internal Medicine
2700 E BROAD ST
MANSFIELD, TX 76063
Internal Medicine
2700 E BROAD ST
MANSFIELD, TX 76063
Internal Medicine
2700 E BROAD ST
MANSFIELD, TX 76063
Internal Medicine
2700 E BROAD ST
MANSFIELD, TX 76063
Hospitalist
2700 E BROAD ST
MANSFIELD, TX 76063
Obstetrics & Gynecology
2700 E BROAD ST
MANSFIELD, TX 76063

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 Jantzen's NPI number?

The NPI number for Stacey Jantzen is 1760056527. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Stacey Jantzen located?

Stacey Jantzen practices at 2700 E Broad St, Mansfield, TX 76063. The listed phone number is (682) 242-6440.

What is Stacey Jantzen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stacey Jantzen enrolled in Medicare?

Yes. Stacey Jantzen is registered in the Medicare PECOS enrollment system.

Is Stacey Jantzen affiliated with any hospitals?

According to CMS data, Stacey Jantzen is affiliated with Methodist Mansfield Medical Center.

When was this NPI record last updated?

The NPPES record for Stacey Jantzen was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.