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Active NPI 1912330895 Individual Practitioner Female Practitioner

Stacia Langan Sackmaster , APN

Nurse Practitioner • Rockford, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Stacia Sackmaster, APN is a certified Nurse Practitioner practicing in Rockford, IL. With approximately 13 years of clinical experience since completing medical education in 2013, Stacia Sackmaster delivers high-quality medical care to the local community at 401 ROXBURY RD.

Stacia Sackmaster maintains professional affiliations with Washington Gastroenterology Pllc, Rockford Gastroenterology Associates Ltd and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, measurement of liver stiffness. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

401 Roxbury Rd

Rockford, IL 611075075

Telephone 8153977340
Fax 8153977388
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Rockford, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +2.3 yrs vs City Avg
City Avg: 10.7 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
130 Specialists

Practicing in Rockford, IL (4929 Statewide)

Telehealth Adoption Rate
13.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
64.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sackmaster (13 Years) 13 Yrs
Rockford Specialty Average (10.7 Years) 10.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
140 140 $435.92 $136.77
99213 Established patient office or other outpatient visit, typically 15 minutes
132 110 $178.49 $72.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
102 93 $283.85 $103.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
11 11 $110.74 $45.66

Medical Specialties & State Licenses

CMS Verified: 2025-01-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP61603948

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 209010644

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2302946 (WA)

Hospital & Practice Group Affiliations

Washington Gastroenterology Pllc

33915 1st Way S, Federal Way, WA 980036396

Phone: 2538389839

Rockford Gastroenterology Associates Ltd

401 Roxbury Rd, Rockford, IL 611075075

Phone: 8153977340

Washington Gastroenterology Pllc

17700 Se 272nd St, Kent, WA 980424951

Phone: 2536399660

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Dr. William Baskin , MD

Internal Medicine - Gastroenterology

NPI 1063408342

Doctor of Medicine (M.D.)

Dr. Robert Barclay , MD

Internal Medicine - Gastroenterology

NPI 1073509337

Doctor of Medicine (M.D.)

Dr. Mark Shiels , MD

Internal Medicine - Gastroenterology

NPI 1104812023

Doctor of Medicine (M.D.)

Dr. Sumeet Tewani , MD

Internal Medicine - Gastroenterology

NPI 1154597284

Doctor of Medicine (M.D.)

Dr. Nabil Baddour , DO, MPH

Internal Medicine - Gastroenterology

NPI 1184018178

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Dr. James Frakes , MD, MS

Internal Medicine - Gastroenterology

NPI 1295722569

Doctor of Medicine (M.D.), Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 15, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2013

Registered at 401 ROXBURY RD, ROCKFORD, IL 611075075 (Tel: 8153977340)

📍
Updated Business Mailing Address August 15, 2013

Registered at 401 ROXBURY RD, ROCKFORD, IL 611075075 (Tel: 8153977340)

👤
Provider Name / Credentials Updated August 15, 2013

Recorded as STACIA SACKMASTER, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2013

Nurse Practitioner (License #209010644 in IL)

🟢
Initial NPI Registration & Enumeration August 15, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912330895
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2013
Last Update: January 24, 2025
Sole Proprietor: Yes

Mailing Address

401 Roxbury Rd

Rockford, IL 611075075

Phone: 8153977340

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.