PAMELA RENEE STACY ACNP
NPI 1821367327
Nurse Practitioner - Family in Tyler, TX

Q: 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.

Q: What is Pamela Stacy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Stacy was last updated on October 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 29, 2011PECOS Enrolled

8288 S BROADWAY AVE, TYLER, TX 75703(903) 606-7060 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 28, 2022, Jul 21, 2022, Aug 8, 2017 (3 updates tracked since 2017).

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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

NPI1821367327

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePAMELA RENEE STACYCredential: ACNP

Location Address8288 S BROADWAY AVETyler, TX 75703-5262

Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6450

Phone(903) 606-7060

Sole ProprietorNo

Enumeration DateDecember 29, 2011

Last NPPES UpdateOctober 28, 20223 updates tracked since enumeration

NPPES CertifiedOctober 28, 2022

✔ NPI 1821367327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP121213

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP121213 (TX)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP121213 (TX), 729458 (TX)

8288 S BROADWAY AVE, Tyler, TX 75703

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Secondary Practice Locations 2

Location 1520 Douglas BlvdTyler, TX 75702-8307 · Phone (903) 593-1721

Location 25321 S Fm 14Hawkins, TX 75765-4839 · Phone (903) 769-2990

Other Identifiers 6

Other75-2616977-118TX · Tricare

Medicaid293825001TX

Other75-2616977-007TX · Tricare

Other867N10TX · Bcbs

Other75-2616977-066TX · Tricare

Other752616977042TX · Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela Renee Stacy Acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,167 services220 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

96 services48 patients

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.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

2 suppliers12 claims5,006 services$0.30 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. JOHN W SCROGGINS MD

Family Medicine