STACIA LANGAN SACKMASTER APN
NPI 1912330895
Nurse Practitioner in Rockford, IL

Active since August 15, 2013PECOS EnrolledAccepts Medicare Assignment
60.25/100
CMS Quality Rating
401 ROXBURY RD, ROCKFORD, IL 61107(815) 397-7340(815) 397-7388 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacia Langan Sackmaster Apn NPPES

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

STACIA LANGAN SACKMASTER APN (NPI 1912330895) is an individual nurse practitioner in Rockford, Illinois, licensed in Washington (AP61603948) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1912330895
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACIA LANGAN SACKMASTERCredential: APN
Location Address401 ROXBURY RDRockford, IL 61107-5075
Mailing Address401 Roxbury RdRockford, IL 61107-5075 · (815) 397-7340 · Fax (815) 397-7388
Fax(815) 397-7388
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 15, 2013
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
NPI 1912330895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in WA · AP61603948 Licensed in IL · 209010644
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.

401 ROXBURY RD, Rockford, IL 61107

Other Identifiers 1

Medicaid2302946WA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stacia Langan Sackmaster Apn 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.

PECOS PAC ID3870729247
PECOS Enrollment IDI20131126001328, I20241021001264
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 4

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
140 services140 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
132 services110 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services93 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

60.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality11.05
Promoting Interoperability80
Improvement Activities40
Cost73.13

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 (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107

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 Stacia Sackmaster's NPI number?

The NPI number for Stacia Sackmaster is 1912330895. It was assigned to this individual provider in the NPPES registry on August 15, 2013.

Where is Stacia Sackmaster located?

Stacia Sackmaster practices at 401 Roxbury Rd, Rockford, IL 61107. The listed phone number is (815) 397-7340.

What is Stacia Sackmaster's specialty?

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

Is Stacia Sackmaster enrolled in Medicare?

Yes. Stacia Sackmaster 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.

What insurance does Stacia Sackmaster accept?

Health plans from Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Quartz list Stacia Sackmaster 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.

Is Stacia Sackmaster affiliated with any hospitals?

According to CMS data, Stacia Sackmaster is affiliated with Uw Health and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Stacia Sackmaster was last updated on January 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.