STACY GAIL ETTINGER CPNP
NPI 1932438751
Nurse Practitioner - Pediatrics in Dallas, TX
About Stacy Gail Ettinger Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY GAIL ETTINGER CPNP (NPI 1932438751) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (696355) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stacy Gail Ettinger Cpnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stacy Ettinger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75390
- Reassigned Medicare billing, Texas enrollment
- 5,299 clinicians in this Medicare group
Dallas, TX 75235
- Reassigned Medicare billing, Texas enrollment
- 157 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
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 Stacy Ettinger's NPI number?
The NPI number for Stacy Ettinger is 1932438751. It was assigned to this individual provider in the NPPES registry on December 8, 2009.
Where is Stacy Ettinger located?
Stacy Ettinger practices at 1935 Medical District Dr Center For Cancer And Blood Disorders, Dallas, TX 75235. The listed phone number is (214) 456-3214.
What is Stacy Ettinger's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Stacy Ettinger enrolled in Medicare?
Yes. Stacy Ettinger 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.
Which organizations bill Medicare for Stacy Ettinger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Ettinger reassigns Medicare benefits to 2 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX) and Children's Health System Of Texas (Dallas, 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 Stacy Ettinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Ettinger accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Stacy Ettinger 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 Stacy Ettinger was last updated on September 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Stacy Gail Ettinger, CPNP · NPI 1932438751
Pediatrics physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since December 8, 2009.
## Identity
- **NPI:** 1932438751 (Entity type: Individual)
- **Enumerated:** December 8, 2009
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 696355 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1935 MEDICAL DISTRICT DR, CENTER FOR CANCER AND BLOOD DISORDERS, Dallas, TX 75235-7701
- **Phone:** (214) 456-3214
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Texas Southwestern Medical Center At Dallas (NPI 1083669766, Dallas, TX); Children's Health System Of Texas (NPI 1194743013, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** September 22, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1932438751) · Data from the CMS NPPES public registry.