JOHN STACK
NPI 1922461565
Pediatrics - Neonatal-Perinatal Medicine in Little Rock, AR

Q: What is John Stack's NPI number?

The NPI number for John Stack is 1922461565. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Q: What is John Stack's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for John Stack was last updated on July 18, 2022. 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.

Active since March 31, 2016PECOS Enrolled

1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202(501) 364-1100 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2022, Jul 15, 2022, Mar 31, 2016 (3 updates tracked since 2016).

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About John Stack NPPES

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

JOHN STACK (NPI 1922461565) is an individual neonatal-perinatal medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-15426) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922461565

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameJOHN STACK

Location Address1 CHILDRENS WAY # 653Little Rock, AR 72202-3500

Mailing AddressPo Box 251418Little Rock, AR 72225-1418 · (501) 364-1100

Phone(501) 364-1100

Sole ProprietorNo

Enumeration DateMarch 31, 2016

Last NPPES UpdateJuly 18, 20223 updates tracked since enumeration

NPPES CertifiedJuly 18, 2022

✔ NPI 1922461565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in AR · E-15426

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License E-15426 (AR)

1 CHILDRENS WAY # 653, Little Rock, AR 72202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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)

John Stack 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.

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.

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