STACY ELAINE NEUDORF (PA-C) – Physician Assistant, NPI 1164781381

STACY ELAINE NEUDORF (PA-C) is a healthcare provider. based in Lubbock, Texas. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA10708 (TX). The NPI Number for STACY ELAINE NEUDORF (PA-C) is 1164781381

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
STACY ELAINE NEUDORF (PA-C)
NPI
1164781381
Phone
(806) 725-5844
Address
3420 22ND PL
Enumeration Date
8 May 2012
Last Update Date
18 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5058141995
Graduation Year
2012 (14 years ago)
PAC ID
9739338278
Group Practice PAC ID
3173848058
Professional Enrollment ID
I20120927000372
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for STACY ELAINE NEUDORF (PA-C)

  • 3420 22ND PL

    LUBBOCK, TX 794101314

    Phone: (806) 725-5844

    Fax: (806) 723-6532

    Type: Mailing

  • 4015 22ND PL

    LUBBOCK, TX 794101119

    Phone: (806) 725-0030

    Fax: (806) 725-0015

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3535$0
99204New patient office or other outpatient visit, 45-59 minutes2020$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1111$0
View full utilization report →

Insurance plans in this area (ZIP 79410)

Loading plans...

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: 3173848058View full group profile
NameSpecialtyState
Nurse PractitionerNM
Family PracticeNM
Physician AssistantNM
Physician AssistantNM
-NM
Physician AssistantNM
-NY
Nurse PractitionerNM
-MD
Physician AssistantCO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for STACY ELAINE NEUDORF (PA-C)?
STACY ELAINE NEUDORF (PA-C) — NPI 1164781381 — is the standard way to identify this listing.
Is STACY ELAINE NEUDORF (PA-C) still practicing?
STACY ELAINE NEUDORF (PA-C) is currently listed as active in the public NPI registry.
What is STACY ELAINE NEUDORF (PA-C)'s primary classification?
Physician Assistant is the headline specialty for STACY ELAINE NEUDORF (PA-C) here. Clinical services aligned with this taxonomy classification.
Where is STACY ELAINE NEUDORF (PA-C) based?
STACY ELAINE NEUDORF (PA-C) is tied to Lubbock, Texas in the data we show; additional addresses may exist on the full record.
Why does STACY ELAINE NEUDORF (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

LINDY THOMAS (PA)

Cardiovascular Disease Physician
PO BOX 1310
NPI: 1285638973

JELETA WEST-LINGO (PA)

Physician Assistant
4642, North Loop 289, North By Northwest, Lubbock, Texas, 79416, United States
NPI: 1629072269

JONI CLINE (PA)

Physician Assistant
19th Street, Lubbock, Texas, 79407, United States
NPI: 1629072277
22nd Place, Heart of Lubbock, Lubbock, Texas, 79411, United States
NPI: 1639175052

PHYLLIS ROSE PETERSON (PA)

Physician Assistant
TTUHSC DEPT OF PSYCHIATRY
NPI: 1346246634

TONI ANN CLINE (PA-C)

Physician Assistant
PO BOX 16327
NPI: 1831195999

MARILYN NOBLE (P.A.)

Physician Assistant
Lubbock Post Office, 1515, Crickets Avenue, Lubbock, Lubbock County, Texas, 79402, United States
NPI: 1417946807

STACY BOONE (P.A.)

Physician Assistant
North Loop 289, Lubbock, Texas, 79403, United States
NPI: 1326021734