STACI CHRISTINE FETTER AGNP-C
NPI 1942070305
Nurse Practitioner - Gerontology in San Antonio, TX
About Staci Christine Fetter Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACI CHRISTINE FETTER AGNP-C (NPI 1942070305) is an individual gerontology provider in San Antonio, Texas, licensed in Texas (1138807) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
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
Staci Christine Fetter Agnp-c 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 Reassignment
Medicare enrollment records show Staci Fetter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Antonio, TX 78220
- Reassigned Medicare billing, Texas enrollment
- 13 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 78220 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN ANTONIO, TX 78220
SAN ANTONIO, TX 78220
SAN ANTONIO, TX 78220
SAN ANTONIO, TX 78220
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 Staci Fetter's NPI number?
The NPI number for Staci Fetter is 1942070305. It was assigned to this individual provider in the NPPES registry on January 8, 2024.
Where is Staci Fetter located?
Staci Fetter practices at 1032 S Ww White Rd, San Antonio, TX 78220. The listed phone number is (210) 447-3033.
What is Staci Fetter's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Staci Fetter enrolled in Medicare?
Yes. Staci Fetter 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 organization bills Medicare for Staci Fetter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Staci Fetter reassigns Medicare benefits to San Antonio Premier Internal Medicine, PLLC (San Antonio, TX). The 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 Staci Fetter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Staci Fetter accept?
Health plans from Oscar Insurance Company list Staci Fetter 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 Staci Fetter was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Staci Christine Fetter, AGNP-C · NPI 1942070305
Gerontology physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since January 8, 2024.
## Identity
- **NPI:** 1942070305 (Entity type: Individual)
- **Enumerated:** January 8, 2024
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 1138807 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1032 S WW WHITE RD, San Antonio, TX 78220-2531
- **Phone:** (210) 447-3033
## 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:** San Antonio Premier Internal Medicine, PLLC (NPI 1891958542, San Antonio, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1942070305) · Data from the CMS NPPES public registry.