STACY TALISE DOW (PMHNP - BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1215624127

STACY TALISE DOW (PMHNP - BC) is a healthcare provider. based in Durango, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP - BC. They hold a License No. 0999159 (CO). The NPI Number for STACY TALISE DOW (PMHNP - BC) is 1215624127

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
STACY TALISE DOW (PMHNP - BC)
NPI
1215624127
Phone
(970) 259-3110
Address
316 SAWYER DR
Enumeration Date
20 April 2023
Last Update Date
26 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9702593110
Graduation Year
2023 (3 years ago)
PAC ID
3971043316
Group Practice PAC ID
5496727240
Professional Enrollment ID
I20240911003812
Address ID
CO813036560DU316XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for STACY TALISE DOW (PMHNP - BC)

  • 316 SAWYER DR

    DURANGO, CO 813036560

    Phone: (970) 259-3110

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $164.

Total Amount is formed as General ($164) + Research ($0) + Ownership ($0) = $164.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($90).

Total Amount

$164

General + Research + Ownership

Payments

5

Total payment records

General Amount

$164

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-09-11

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
I20240911003812INurse PractitionerCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81303)

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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: 5496727240View full group profile
NameSpecialtyState
Family PracticeCO
-CO
Family PracticeCO
-CO
Internal MedicineCO
Family PracticeCO
Family PracticeCO
Family PracticeCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

Is STACY TALISE DOW (PMHNP - BC) listed with a National Provider Identifier?
Yes — STACY TALISE DOW (PMHNP - BC) has NPI 1215624127 on file in the registry.
Is there an active status for STACY TALISE DOW (PMHNP - BC)?
For scheduling context, STACY TALISE DOW (PMHNP - BC) is shown as active in the registry.
What kind of doctor is STACY TALISE DOW (PMHNP - BC)?
STACY TALISE DOW (PMHNP - BC) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is STACY TALISE DOW (PMHNP - BC) located near Durango?
STACY TALISE DOW (PMHNP - BC) currently maps to Durango, Colorado in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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