MASON MICHAEL STAHLEY (DC) – Chiropractor, NPI 1528712239

MASON MICHAEL STAHLEY (DC) is a healthcare provider. based in Edgewood, Washington. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 61257998 (WA). The NPI Number for MASON MICHAEL STAHLEY (DC) is 1528712239

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MASON MICHAEL STAHLEY (DC)
NPI
1528712239
Phone
(916) 719-5616
Address
10303 20TH ST E APT F206
Enumeration Date
10 February 2022
Last Update Date
10 February 2022

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
2534453000
Graduation Year
2021 (5 years ago)
PAC ID
7911351275
Group Practice PAC ID
9234596156
Professional Enrollment ID
I20230921000052
Address ID
WA983752513PU9909XEXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:4State licenses:2Digital endpointsOther names

1,415 CHIROPRACTIC in WA

Provider Addresses for MASON MICHAEL STAHLEY (DC)

  • 10303 20TH ST E APT F206

    EDGEWOOD, WA 983721015

    Phone: (916) 719-5616

    Type: Mailing

  • 13003 SE KENT KANGLEY RD STE 110

    KENT, WA 980307919

    Phone: (253) 638-2424

    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: 2023-09-21

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
I20230921000052IChiropracticWATBD

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 98372)

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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: 9234596156View full group profile
NameSpecialtyState
C H I R O P R A C T I CWA
Nurse PractitionerWA
C H I R O P R A C T I CWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MASON MICHAEL STAHLEY (DC)?
MASON MICHAEL STAHLEY (DC) — NPI 1528712239 — is the standard way to identify this listing.
Does the file indicate MASON MICHAEL STAHLEY (DC) is practicing under active NPI?
Directory data currently reports MASON MICHAEL STAHLEY (DC) as active.
What taxonomy line describes MASON MICHAEL STAHLEY (DC)?
For research purposes, treat MASON MICHAEL STAHLEY (DC) as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
Where is MASON MICHAEL STAHLEY (DC) based?
MASON MICHAEL STAHLEY (DC) is tied to Edgewood, Washington in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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