Active NPI 1164851259 Individual Practitioner Female Practitioner

Brenda Stack , NP

Nurse Practitioner • Sayre, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brenda Stack, NP is a certified Nurse Practitioner practicing in Sayre, PA. With approximately 13 years of clinical experience since completing medical education in 2013, Brenda Stack delivers high-quality medical care to the local community at 1 GUTHRIE SQ.

Brenda Stack is affiliated with Guthrie Medical Group Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, detection test for strep (streptococcus, group a). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Guthrie Sq

Sayre, PA 188401625

Telephone 5708885858

Associated Practice Facility / Clinic

🏢 Robert Packer Hospital Facility NPI 1083614382

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sayre, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +0.1 yrs vs City Avg

City Avg: 12.9 Yrs

State Avg: 10.7 Yrs

Regional Practice Density

55 Specialists

Practicing in Sayre, PA (3955 Statewide)

Telehealth Adoption Rate

21.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stack (13 Years) 13 Yrs

Sayre Specialty Average (12.9 Years) 12.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	198	182	$197.90	$73.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	76	$292.18	$103.90
81003 Automated urinalysis test	36	35	$21.89	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$63.63	$53.59
87651 Detection test for Strep (Streptococcus, group A)	16	16	$109.00	$34.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$291.64	$90.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$144.25	$45.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	209	201	$189.04	$73.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	69	$278.68	$104.31
81003 Automated urinalysis test	27	27	$20.74	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	19	19	$50.05	$16.20
96127 Assessment of emotional or behavioral problems	18	18	$16.56	$4.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	127	119	$162.52	$75.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	57	$255.79	$106.93
81003 Automated urinalysis test	17	17	$20.00	$2.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	470	470	$48.43	$36.27
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	319	316	$36.44	$26.51
0011A Adm sarscov2 100mcg/0.5ml1st	226	226	$32.85	$23.34
0012A Adm sarscov2 100mcg/0.5ml2nd	223	223	$48.42	$36.25
99213 Established patient office or other outpatient visit, typically 15 minutes	158	149	$153.00	$76.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	80	79	$66.00	$18.95
96127 Assessment of emotional or behavioral problems	35	35	$16.00	$4.61
81003 Automated urinalysis test	25	25	$20.00	$2.25
0031A Adm sarscov2 vac ad26 .5ml	24	24	$50.00	$38.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$225.00	$109.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	436	411	$66.00	$19.35
99213 Established patient office or other outpatient visit, typically 15 minutes	100	96	$153.00	$62.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	86	$225.00	$91.59
81002 Urinalysis, manual test	24	24	$20.00	$3.46
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	19	19	$49.00	$16.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	290	255	$225.00	$90.65
99213 Established patient office or other outpatient visit, typically 15 minutes	227	206	$153.00	$61.81
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	53	53	$49.00	$16.20
81002 Urinalysis, manual test	52	50	$20.00	$3.41
94640 Inhalation treatment for airway obstruction or sputum production	26	24	$41.00	$14.63
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	19	$64.67	$18.70
85610 Blood test, clotting time	21	19	$32.00	$4.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	385	320	$225.00	$88.18
99213 Established patient office or other outpatient visit, typically 15 minutes	209	186	$153.00	$60.31
81002 Urinalysis, manual test	67	59	$20.00	$3.37
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	51	35	$64.22	$17.63
85610 Blood test, clotting time	49	33	$32.00	$4.75
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	39	38	$49.00	$16.20
94640 Inhalation treatment for airway obstruction or sputum production	13	12	$41.00	$14.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	381	298	$153.00	$59.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	280	225	$225.00	$87.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	128	78	$61.73	$16.36
85610 Blood test, clotting time	127	76	$32.00	$5.28
36415 Insertion of needle into vein for collection of blood sample	71	60	$17.00	$2.94
81002 Urinalysis, manual test	64	55	$20.00	$3.43
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$49.00	$14.79

Medical Specialties & State Licenses

CMS Verified: 2021-03-05

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP013188

(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.

Clinical Nurse Specialist - Family Health

NUCC Taxonomy Code: 364SF0001X

State License PA SP013188

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Crnp License #

SP013188 (PA)

Hospital & Practice Group Affiliations

Guthrie Medical Group Pc

412 S Main St, Athens, PA 188101618

Phone: 5708889655

Guthrie Medical Group Pc

720 Willow Ave, Ithaca, NY 148503215

Phone: 6072194600

Practice Associates & Co-Workers

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

40 Associated Practitioners

Danielle Terry

Psychologist

NPI 1003107459

Dr. Phillip Lunsford , MD

Emergency Medicine

NPI 1003182916

Doctor of Medicine (M.D.)

Dr. Donna Tamkin , MD

Radiology - Diagnostic Radiology

NPI 1003864281

Doctor of Medicine (M.D.)

Dr. Bruce Slagle , MD

Hospitalist

NPI 1003888967

Doctor of Medicine (M.D.)

Emily Oberst , PA-C

Physician Assistant

NPI 1003888983

Physician Assistant (Certified)

Dr. Michael Depersis , DO

Internal Medicine

NPI 1013215896

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location March 05, 2021

Registered at 1 GUTHRIE SQ, SAYRE, PA 188401625 (Tel: 5708885858)

✅

NPI Profile Active September 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 11, 2015

Registered at 132 COLONIAL DR, TOWANDA, PA 188488107 (Tel: 5702656165)

📍

Updated Business Mailing Address September 11, 2015

Registered at 1 GUTHRIE SQ, SAYRE, PA 188401625 (Tel: 5708885858)

👤

Provider Name / Credentials Updated September 11, 2015

Recorded as BRENDA STACK, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2015

Nurse Practitioner (License #SP013188 in PA)

🟢

Initial NPI Registration & Enumeration November 08, 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: 1164851259

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 08, 2013

Last Update: March 05, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Guthrie Sq

Sayre, PA 188401625

Phone: 5708885858

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.