STACY D ROYALL (NP-BC) – Nurse Practitioner, NPI 1417500307

STACY D ROYALL (NP-BC) is a healthcare provider. based in Salem, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-BC. They hold a License No. 0024177404 (VA). The NPI Number for STACY D ROYALL (NP-BC) is 1417500307

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
STACY D ROYALL (NP-BC)
NPI
1417500307
Phone
(540) 505-8400
Address
916 Kessler Mill Rd
Enumeration Date
19 July 2019
Last Update Date
20 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5409212238
Graduation Year
2018 (8 years ago)
PAC ID
2466887864
Group Practice PAC ID
3173518230
Professional Enrollment ID
I20200113001437
Address ID
VA241341660PE705XXAVEX300
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

8,303 NURSE PRACTITIONER in VA

Provider Addresses for STACY D ROYALL (NP-BC)

  • 916 Kessler Mill Rd

    Salem, VA 241533048

    Phone: (540) 505-8400

    Type: Location

  • 700 University City Blvd

    Blacksburg, VA 240602706

    Phone: (540) 961-8300

    Fax: (540) 961-8465

    Type: Location

  • 401, West Main Street, Radford City, Radford (city), Virginia, 24141, United States

    RADFORD, VA 241411588

    Phone: (540) 961-8300

    Type: Location

  • 916, Kessler Mill Road, Keslers Mill, Salem, Salem (city), Virginia, 24153, United States

    SALEM, VA 241533048

    Phone: (540) 505-8530

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $1,216.

Total Amount is formed as General ($1,216) + Research ($0) + Ownership ($0) = $1,216.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($346).

Total Amount

$1,216

General + Research + Ownership

Payments

78

Total payment records

General Amount

$1,216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-01-13

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
I20200113001437INurse PractitionerVATBD

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 24153)

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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: 3173518230View full group profile
NameSpecialtyState
Psychiatry, Addiction Medicine, Geriatric PsychiatryVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Mental Health CounselorVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Mental Health CounselorVA
Mental Health CounselorVA
Nurse PractitionerVA
P S Y C H I A T R YVA

Reviews

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Frequently asked questions

How is STACY D ROYALL (NP-BC) identified in CMS data?
CMS-hosted NPPES data lists STACY D ROYALL (NP-BC) with NPI 1417500307.
Is STACY D ROYALL (NP-BC) listed as active for patients and plans?
The listing shows STACY D ROYALL (NP-BC) as active in the NPI system.
What taxonomy line describes STACY D ROYALL (NP-BC)?
For research purposes, treat STACY D ROYALL (NP-BC) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is STACY D ROYALL (NP-BC) based?
STACY D ROYALL (NP-BC) is tied to Salem, Virginia in the data we show; additional addresses may exist on the full record.
Is the information about STACY D ROYALL (NP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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