PAMELA RENEE STACY ACNP
NPI 1821367327
Nurse Practitioner - Family in Tyler, TX
About Pamela Renee Stacy Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAMELA RENEE STACY ACNP (NPI 1821367327) is an individual family provider in Tyler, Texas, licensed in Texas (AP121213) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pamela Renee Stacy Acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Pamela Stacy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 547 clinicians in this Medicare group
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- 2,745 clinicians in this Medicare group
Jacksonville, TX 75766
- Reassigned Medicare billing, Texas enrollment
- 409 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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 15
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 Pamela Stacy's NPI number?
The NPI number for Pamela Stacy is 1821367327. It was assigned to this individual provider in the NPPES registry on December 29, 2011.
Where is Pamela Stacy located?
Pamela Stacy practices at 8288 S Broadway Ave, Tyler, TX 75703. The listed phone number is (903) 606-7060.
What is Pamela Stacy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pamela Stacy enrolled in Medicare?
Yes. Pamela Stacy is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Pamela Stacy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Stacy reassigns Medicare benefits to 3 organizations: Mother Frances Hospital Regional Health Care Center (Tyler, TX), Christus Trinity Clinic Texas (Tyler, TX) and Mother Frances Hospital Jacksonville (Jacksonville, TX). Each 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 Pamela Stacy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pamela Stacy accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Pamela Stacy 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 Pamela Stacy was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Pamela Renee Stacy, ACNP · NPI 1821367327
Family physician in Tyler, Texas. Individual provider, active in the CMS NPPES registry since December 29, 2011.
## Identity
- **NPI:** 1821367327 (Entity type: Individual)
- **Enumerated:** December 29, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP121213 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 8288 S BROADWAY AVE, Tyler, TX 75703-5262
- **Phone:** (903) 606-7060
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mother Frances Hospital Regional Health Care Center (NPI 1679578439, Tyler, TX); Christus Trinity Clinic Texas (NPI 1285684225, Tyler, TX); Mother Frances Hospital Jacksonville (NPI 1952306672, Jacksonville, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2022
- **Other identifiers:** Other 75-2616977-118 (TX); Medicaid 293825001 (TX); Other 75-2616977-007 (TX); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1821367327) · Data from the CMS NPPES public registry.