STACIA VASSELL – Family Nurse Practitioner, NPI 1265971170

STACIA VASSELL is a healthcare provider. based in Tamarac, Florida. specializing in Family Nurse Practitioner. They hold a License No. 9281044 (FL). The NPI Number for STACIA VASSELL is 1265971170

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
STACIA VASSELL
NPI
1265971170
Phone
Not provided
Address
4940 NW 57TH CT
Enumeration Date
13 February 2017
Last Update Date
14 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3524011000
Graduation Year
2016 (10 years ago)
PAC ID
8224305156
Group Practice PAC ID
5597665372
Professional Enrollment ID
I20170525000893
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for STACIA VASSELL

  • Northwest 57th Court, Tamarac, Broward County, Florida, 33321, United States

    TAMARAC, FL 333192304

    Phone:

    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)

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: 2017-05-25

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
I20170525000893INurse PractitionerFLTBD

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
99284Emergency department visit with moderate level of medical decision making7473$0
99283Emergency department visit with low level of medical decision making2929$0
99285Emergency department visit with high level of medical decision making2524$0
View full utilization report →

Insurance plans in this area (ZIP 33319)

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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: 5597665372View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm STACIA VASSELL's NPI?
Yes. STACIA VASSELL is listed with NPI 1265971170 in the public NPI dataset.
Is STACIA VASSELL listed as active for patients and plans?
The listing shows STACIA VASSELL as active in the NPI system.
What is STACIA VASSELL's specialty?
The listing groups STACIA VASSELL with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect STACIA VASSELL on a map?
Expect Tamarac, Florida as a primary anchor for STACIA VASSELL unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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