STACEY RENEE VIERRA PA-C
NPI 1952541716
Physician Assistant in Kirtland Afb, NM

Active since March 05, 2009PECOS EnrolledAccepts Medicare Assignment
2050A 2ND ST SE, KIRTLAND AFB, NM 87117(505) 846-3200(406) 731-2691 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Stacey Renee Vierra Pa-c NPPES

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

STACEY RENEE VIERRA PA-C (NPI 1952541716) is an individual physician assistant in Kirtland Afb, New Mexico and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1952541716
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACEY RENEE VIERRACredential: PA-C
Location Address2050A 2ND ST SEKirtland Afb, NM 87117-5522
Mailing Address2050a 2nd St SeKirtland Afb, NM 87117-5522 · (505) 846-3200 · Fax (406) 731-2691
Fax(406) 731-2691
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 5, 2009
Last NPPES UpdateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
NPI 1952541716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2050A 2ND ST SE, Kirtland Afb, NM 87117

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

Stacey Renee Vierra Pa-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 ID2769799832
PECOS Enrollment IDI20260423000417
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 87117 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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.

Psychologist (Clinical)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Dentist (Prosthodontics)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Social Worker (Clinical)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Dentist
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Emergency Medicine
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Pediatrics
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Nurse Practitioner (Women's Health)
2050A 2ND ST SE
ALBUQUERQUE, NM 87117
Preventive Medicine (Occupational Medicine)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117

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 Stacey Vierra's NPI number?

The NPI number for Stacey Vierra is 1952541716. It was assigned to this individual provider in the NPPES registry on March 5, 2009.

Where is Stacey Vierra located?

Stacey Vierra practices at 2050A 2nd St SE, Kirtland Afb, NM 87117. The listed phone number is (505) 846-3200.

What is Stacey Vierra's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stacey Vierra enrolled in Medicare?

Yes. Stacey Vierra 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.

When was this NPI record last updated?

The NPPES record for Stacey Vierra was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.