STACEY M. KRICK (PA) – Physician Assistant, NPI 1497375356

STACEY M. KRICK (PA) is a healthcare provider. based in Fort wayne, Indiana. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 10002854A (IN). The NPI Number for STACEY M. KRICK (PA) is 1497375356

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
STACEY M. KRICK (PA)
NPI
1497375356
Phone
(260) 458-3830
Address
7333 W JEFFERSON BLVD
Enumeration Date
21 April 2020
Last Update Date
21 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2603532190
Graduation Year
2018 (8 years ago)
PAC ID
6305267428
Group Practice PAC ID
8628988367
Professional Enrollment ID
I20200528000316
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for STACEY M. KRICK (PA)

  • 7333 W JEFFERSON BLVD

    FORT WAYNE, IN 468046280

    Phone: (260) 458-3830

    Fax: (260) 458-3831

    Type: Location

  • 6920 POINTE INVERNESS WAY STE 200

    FORT WAYNE, IN 468047934

    Phone: (260) 479-3516

    Fax: (260) 479-3520

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $254.

Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Corium, LLC ($90).

Total Amount

$254

General + Research + Ownership

Payments

16

Total payment records

General Amount

$254

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 46804)

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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: 8628988367View full group profile

Reviews

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Frequently asked questions

What federal number belongs to STACEY M. KRICK (PA)?
The federal identifier for STACEY M. KRICK (PA) is NPI 1497375356.
Is STACEY M. KRICK (PA) active in the national directory?
STACEY M. KRICK (PA)'s public NPI profile is in an active state.
What does STACEY M. KRICK (PA) treat or focus on?
Patients typically see STACEY M. KRICK (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place STACEY M. KRICK (PA)?
The snapshot lists Fort Wayne, Indiana for STACEY M. KRICK (PA); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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