STACY GAIL ETTINGER CPNP
NPI 1932438751
Nurse Practitioner - Pediatrics in Dallas, TX

Active since December 08, 2009PECOS Enrolled
1935 MEDICAL DISTRICT DR, CENTER FOR CANCER AND BLOOD DISORDERS, DALLAS, TX 75235(214) 456-3214 Get Directions Write a Review

NPPES record last updated: September 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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.

NPPES Registry Identity

NPI1932438751
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSTACY GAIL ETTINGERCredential: CPNP
Location Address1935 MEDICAL DISTRICT DR, CENTER FOR CANCER AND BLOOD DISORDERSDallas, TX 75235-7701
Mailing Address3019 Thomas Ave Apt 1402Dallas, TX 75204-2814 · (214) 456-3214
Sole ProprietorNo
Enumeration DateDecember 8, 2009
Last NPPES UpdateSeptember 22, 2010
NPI 1932438751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in TX · 696355
1935 MEDICAL DISTRICT DR, Dallas, TX 75235

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 (PECOS)

Stacy Gail Ettinger Cpnp 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.

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.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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.

Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics, Critical Care)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
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 enrollment system.

What insurance does Stacy Ettinger accept?

Health plans from Blue Cross and Blue Shield of Texas 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 with the weekly NPPES data releases published by CMS.