STACY HORTON – Certified Registered Nurse Anesthetist, NPI 1790229607

STACY HORTON is a healthcare provider. based in Maumelle, Arkansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. R078292 (AR). The NPI Number for STACY HORTON is 1790229607

Main info

Male
10 Years Of Experience
Name
STACY HORTON
NPI
1790229607
Phone
(501) 734-8291
Address
8 Sherman Cv
Enumeration Date
12 December 2016
Last Update Date
25 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8659857062
Graduation Year
2016 (10 years ago)
PAC ID
3476839432
Group Practice PAC ID
8325328628
Professional Enrollment ID
I20170406001004
Address ID
TX754609313PA865XXDRXX300

Contacts

Secure Messaging
shorton322259@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

716 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AR

Provider Addresses for STACY HORTON

  • 8 Sherman Cv

    Maumelle, AR 721135903

    Phone: (501) 734-8291

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752844658

    Phone:

    Type: Mailing

  • Baylor Scott & White Medical Center – Marble Falls, 810, West Highway 71, Marble Falls, Burnet County, Texas, 78654, United States

    MARBLE FALLS, TX 786548602

    Phone: (830) 201-7100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170406001004ICertified Registered Nurse Anesthetist (Crna)TXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope7272$0
00813Anesthesia for procedure on small and large bowel using an endoscope3636$0
00812Anesthesia for exam of colon using an endoscope2020$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1715$0
01402Anesthesia for procedure for total knee joint replacement1616$0
View full utilization report →

Insurance plans in this area (ZIP 72113)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325328628View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YNC
Anesthesiology, Critical Care (Intensivists)PA
Anesthesiology AssistantTX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)KS
A N E S T H E S I O L O G YNJ

Reviews

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Frequently asked questions

How is STACY HORTON identified in CMS data?
CMS-hosted NPPES data lists STACY HORTON with NPI 1790229607.
Can I rely on STACY HORTON being an active provider?
As of the registry snapshot, STACY HORTON is marked active.
What taxonomy line describes STACY HORTON?
For research purposes, treat STACY HORTON as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What area does STACY HORTON serve?
STACY HORTON's listing highlights Maumelle, Arkansas; more addresses can appear in NPPES.
Why does STACY HORTON have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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