Nicole Stapley, DNP in Kaysville, UT - Medicare Nurse Practitioner

Nicole Stapley, DNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Kaysville, Utah. Her current practice location is 380 N 400 W, Kaysville, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 773-4840.

Nicole Stapley is licensed to practice in Utah (license number 7627343-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063898377.

Contact Information

	Nicole Stapley, DNP
	380 N 400 W, Kaysville, UT 84037-3135
	(801) 773-4840
	(801) 525-8151

Map and Direction

Provider's Profile

Full Name	Nicole Stapley
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	380 N 400 W, Kaysville, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063898377
Provider Enumeration Date: 08/10/2015
Last Update Date: 08/10/2015

Medicare PECOS Information:

PECOS PAC ID: 6901113455
Enrollment ID: I20150915003236

Medical Identifiers

Medical identifiers for Nicole Stapley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063898377	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	7627343-4405 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Stapley allows following entities to bill medicare on her behalf.

Entity Name	Tanner Memorial Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Stapley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Stapley, DNP Po Box 337, Layton, UT 84041-0337 Ph: (801) 773-4840	Nicole Stapley, DNP 380 N 400 W, Kaysville, UT 84037-3135 Ph: (801) 773-4840

Reviews and Comments

Nurse Practitioner Nurses in Kaysville, UT

Jocelyn Anne Montierth, MSN, APRN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 N Main St Ste 103, Kaysville, UT 84037 Phone: 801-216-4130
Blake Henry Miles, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 977 S Via La Costa Way, Kaysville, UT 84037 Phone: 801-589-6988
Natalie E Royster-jensen, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 498 N Kays Dr Ste 200, Kaysville, UT 84037 Phone: 385-382-1555
Mr. Jordan Wyler Johnsen, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 N Main St Ste 103, Kaysville, UT 84037 Phone: 801-876-3749 Fax: 801-876-3697
Nicholas George Jarvis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 N Main St Ste 103, Kaysville, UT 84037 Phone: 801-876-3749
Cheryl Ann Wentworth, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 498 N 900 W, Kaysville, UT 84037 Phone: 385-382-1555

Nicole Stapley, DNP - Medicare Nurse Practitioner in Kaysville, UT