MELISSA NICKELS STACY (P.A.C.) – Physician Assistant, NPI 1922193812
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in VA
Provider Addresses for MELISSA NICKELS STACY (P.A.C.)
231 MEDICAL PARK DR STE 300
BLUEFIELD, VA 246051531
Phone: (276) 322-5400
Fax: (276) 322-5777
Type: Location
430 Boxwood Ln
Pearisburg, VA 241341168
Phone: (540) 921-6110
Type: Location
231 Medical Park Dr Ste 300
Bluefield, VA 246051531
Phone: (276) 322-5400
Fax: (276) 322-5777
Type: Location
141 Ben Bolt Ave
Tazewell, VA 246519700
Phone: (276) 988-8850
Fax: (276) 988-8786
Type: Location
3 WESTWOOD MEDICAL PARK
BLUEFIELD, VA 246052000
Phone: (276) 322-6900
Type: Location
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone:
Type: Mailing
430 BOXWOOD LN
PEARISBURG, VA 241341168
Phone: (540) 921-6110
Type: Location
141, Ben Bolt Avenue, Benbolt, Tazewell, Tazewell County, Virginia, 24651, United States
TAZEWELL, VA 246519700
Phone: (276) 988-8850
Fax: (276) 988-8786
Type: Mailing
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: 2018-10-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181023001599 | I | Physician Assistant | VA | 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 24605)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Cardiovascular Disease (Cardiology) | VA | |
| G A S T R O E N T E R O L O G Y | NY | |
| - | MI | |
| - | VA | |
| - | VA | |
| - | VA | |
| General Surgery | VA | |
| - | VA |
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