MRS. STACY L FORST (PA-C) – Medical Physician Assistant, NPI 1649272410
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MRS. STACY L FORST (PA-C)
7910 W Jefferson Blvd
Suite 108
Fort Wayne, IN 468044159
Phone: (260) 484-8830
Fax: (260) 483-1911
Type: Location
2 FALLING WATER LN
MORGANTOWN, WV 265084498
Phone: (260) 417-1245
Type: Mailing
1 MEDICAL CENTER DR
MORGANTOWN, WV 265061200
Phone: (304) 598-6984
Type: Location
Parkview Plaza Drive, Fort Wayne, Allen County, Indiana, 46845, United States
100
FORT WAYNE, IN 468451727
Phone: (260) 484-8830
Fax: (260) 483-1911
Type: Mailing
7910, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46804, United States
SUITE 108
FORT WAYNE, IN 468044159
Phone: (260) 484-8830
Fax: (260) 483-1911
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2024-01-18 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($20).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Daiichi Sankyo Inc. | $20 |
| Seagen Inc. | $17 |
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: 2012-04-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120425000350 | I | Physician Assistant | WV | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 50 | 17 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 40 | 13 | $0 |
Insurance plans in this area (ZIP 46804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WV | |
| - | WV | |
| - | WV | |
| P O D I A T R Y | WV | |
| Family Practice, Emergency Medicine, Family Practice | WV | |
| - | OH | |
| - | CA | |
| Emergency Medicine | WV | |
| - | WV | |
| - | WV |
Reviews
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