MICHAEL L STAHLY (FNP) – Family Nurse Practitioner, NPI 1487611380

MICHAEL L STAHLY (FNP) is a healthcare provider. based in Bend, Oregon. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 200540385RN (OR). The NPI Number for MICHAEL L STAHLY (FNP) is 1487611380

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL L STAHLY (FNP)
NPI
1487611380
Phone
(541) 388-2333
Address
1303 NE CUSHING DR
Enumeration Date
26 April 2006
Last Update Date
26 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5415489159
Graduation Year
2004 (22 years ago)
PAC ID
0143257931
Group Practice PAC ID
8325941446
Professional Enrollment ID
I20050723000066
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

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Provider Addresses for MICHAEL L STAHLY (FNP)

  • Desert Orthopedics, 1303, Northeast Cushing Drive, Bend, Deschutes County, Oregon, 97701, United States

    SUITE 100

    BEND, OR 977013887

    Phone: (541) 388-2333

    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: 2005-07-23

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
I20050723000066INurse PractitionerORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97701)

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Provider's Procedures

MICHAEL L STAHLY (FNP) performs procedures in Family Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONEROR20610Aspiration and/or injection of large joint or joint capsule5229
NURSE PRACTITIONEROR73562X-ray of knee, 3 views1514
NURSE PRACTITIONEROR73630X-ray of foot, minimum of 3 views2017

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: 8325941446View full group profile
NameSpecialtyState
Family PracticeOR
Nurse PractitionerOR
A L L E R G Y/ I M M U N O L O G YOR
-OR
Family PracticeOR
-OR
-OR
Physician AssistantOR
Family PracticeOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

How do payers reference MICHAEL L STAHLY (FNP)?
For MICHAEL L STAHLY (FNP), use NPI 1487611380 as the unique 10-digit identifier.
Would MICHAEL L STAHLY (FNP) appear as active to a payer?
You can treat MICHAEL L STAHLY (FNP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MICHAEL L STAHLY (FNP)?
MICHAEL L STAHLY (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MICHAEL L STAHLY (FNP) located near Bend?
MICHAEL L STAHLY (FNP) currently maps to Bend, Oregon in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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