NATHANAEL CHRISTOPHER STUCK – Physician Assistant, NPI 1104345263
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NATHANAEL CHRISTOPHER STUCK
123 Baptist Way
Pensacola, FL 325032254
Phone: (448) 227-8478
Fax: (448) 227-2100
Type: Location
1110 Gulf Breeze Pkwy
Gulf Breeze, FL 325614884
Phone: (448) 227-6330
Fax: (850) 626-9606
Type: Location
2, Center Street, Richland Mobile Home Park, Tri-Cities, Benton County, Washington, 99354, United States
MOBILE, AL 366041541
Phone: (251) 660-5108
Fax: (251) 660-5792
Type: Location
26920 POLLARD RD APT 834
DAPHNE, AL 365265151
Phone:
Type: Mailing
PO BOX 40480
MOBILE, AL 366400480
Phone: (251) 434-3626
Fax: (251) 445-2464
Type: Mailing
PO BOX 95590
SOUTH JORDAN, UT 840950590
Phone: (801) 784-0954
Fax: (801) 352-7976
Type: Mailing
9400 UNIVERSITY PKWY STE 101B
PENSACOLA, FL 325145485
Phone: (850) 208-6150
Fax: (850) 916-8700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,283.
Total Amount is formed as General ($1,283) + Research ($0) + Ownership ($0) = $1,283.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: SI-BONE, INC. ($1,184).
Total Amount
$1,283
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,283
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $1,184 |
| Baxter Healthcare | $58 |
| UCB, Inc. | $21 |
| AstraZeneca Pharmaceuticals LP | $20 |
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: 2018-05-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180519000013 | I | Physician Assistant | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 32503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | FL | |
| Physician Assistant | AL | |
| - | AL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AL | |
| Cardiac Surgery, Vascular Surgery | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | AL | |
| R H E U M A T O L O G Y | AL | |
| - | AL | |
| - | AL | |
| - | AL |
Reviews
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