STACI CHRISTINE FETTER AGNP-C
NPI 1942070305
Nurse Practitioner - Gerontology in San Antonio, TX

Q: 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.

Q: What is Staci Fetter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: 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.

Active since January 08, 2024PECOS EnrolledAccepts Medicare Assignment

1032 S WW WHITE RD, SAN ANTONIO, TX 78220(210) 447-3033 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1942070305

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSTACI CHRISTINE FETTERCredential: AGNP-C

Location Address1032 S WW WHITE RDSan Antonio, TX 78220-2531

Mailing Address1032 S Ww White RdSan Antonio, TX 78220-2531 · (210) 447-3033

Phone(210) 447-3033

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 8, 2024

NPPES CertifiedJanuary 6, 2024

✔ NPI 1942070305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in TX · 1138807

1032 S WW WHITE RD, San Antonio, TX 78220

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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

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.

PECOS PAC ID1355794827

PECOS Enrollment IDI20240131003509

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 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.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN A WARING GNP-BC

Nurse Practitioner (Gerontology)