STACIE L PIERCE-DUTCH (P.A.-C) – Medical Physician Assistant, NPI 1164490710
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for STACIE L PIERCE-DUTCH (P.A.-C)
3721 W EL CASTILE ST
SPRINGFIELD, MO 658075431
Phone: (417) 872-9757
Type: Mailing
1835 CHELSEA DR
EDMOND, OK 730134316
Phone:
Type: Mailing
3433 NW 56TH ST STE 710
OKLAHOMA CITY, OK 731124430
Phone: (405) 951-2141
Fax: (405) 951-2646
Type: Mailing
3000 N GRAND BLVD
OKLAHOMA CITY, OK 731071818
Phone: (405) 632-6688
Type: Mailing
1025 STRAKA TER
OKLAHOMA CITY, OK 731392544
Phone: (405) 632-6688
Type: Location
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: 2018-09-07
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 |
|---|---|---|---|---|
| I20180907000859 | I | Physician Assistant | OK | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65807)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | OK | |
| - | OK | |
| Physician Assistant | OK | |
| Orthopedic Surgery | OK | |
| - | OK | |
| Family Practice, General Surgery, Osteopathic Manipulative Medicine | OK | |
| - | OK | |
| H O S P I T A L I S T | OK | |
| H E M A T O L O G Y/ O N C O L O G Y | OK | |
| - | OK |
Reviews
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