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SAMANTHA LEE STACKS NP
NPI 1992261077
Nurse Practitioner - Family in Salt Lake City, UT

Active since February 14, 2019PECOS EnrolledAccepts Medicare Assignment
409 W 400 S, SALT LAKE CITY, UT 84101(801) 364-0058 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, Mar 5, 2024, Sep 22, 2019 and 2 more (5 updates tracked since 2019).

About Samantha Lee Stacks Np NPPES

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

SAMANTHA LEE STACKS NP (NPI 1992261077) is an individual family provider in Salt Lake City, Utah, licensed in Utah (10932001-4405) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992261077
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA LEE STACKSCredential: NP
Location Address409 W 400 SSalt Lake City, UT 84101-1135
Mailing Address409 W 400 SSalt Lake City, UT 84101-1135 · (801) 364-0058
Phone(801) 364-0058
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 14, 2019
Last NPPES UpdateDecember 10, 20245 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1992261077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 10932001-4405
Also ListedNurse PractitionerTaxonomy 363L00000X · License 10932001-4405 (UT)
409 W 400 S, Salt Lake City, UT 84101
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

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

Samantha Lee Stacks Np 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 ID6800121997
PECOS Enrollment IDI20190711001733
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84101 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

ELLEN HARMSTON CSW
Social Worker (Clinical)
409 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (385) 466-1570
MICHALA SANDOVAL
Dental Hygienist
409 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 364-0058
LEAH FORSYTH
Registered Nurse
409 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 364-0058
CYNTHIA DIN PHARMD
Pharmacist
409 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 333-8628
REBECCA ARIANNE SCHNEIDER
Dentist
409 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 364-0058
CAMERON LEWIS BENNETT MPAS, PA-C
Physician Assistant
409 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 364-0058
MR. CHRISTOPHER LEE SMITH APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
409 W 400 S, THE FOURTH STREET CLINIC
SALT LAKE CITY, UT 84101
Salt Lake County (385) 234-5705
EMILY HORTON CSW
Social Worker (Clinical)
409 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 364-0058

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 Samantha Stacks's NPI number?

The NPI number for Samantha Stacks is 1992261077. It was assigned to this individual provider in the NPPES registry on February 14, 2019.

Where is Samantha Stacks located?

Samantha Stacks practices at 409 W 400 S, Salt Lake City, UT 84101. The listed phone number is (801) 364-0058.

What is Samantha Stacks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Stacks enrolled in Medicare?

Yes. Samantha Stacks 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.

What insurance does Samantha Stacks accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Samantha Stacks 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.

Is Samantha Stacks affiliated with any hospitals?

According to CMS data, Samantha Stacks is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Samantha Stacks was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.