Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437234770 Individual Practitioner Female Practitioner

Mary Beth Stack , NURSE PRACTITIONER

Nurse Practitioner • Charlottesville, VA

Professional Overview & Biography Verified Profile Summary

Mary Stack, NURSE PRACTITIONER is a registered healthcare professional specializing in Nurse Practitioner in Charlottesville, VA. Practice services are available at 2955 IVY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2955 Ivy Rd
Suite 201 University Of Virginia Health System Northrid

Charlottesville, VA 22903

Telephone 4342434531
Fax 4342434717
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Charlottesville, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
89 Specialists

Practicing in Charlottesville, VA (1750 Statewide)

Telehealth Adoption Rate
13.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License VA 0024096552

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License VA 0001096552

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Cms Group
C07038
Commercial Insurance / Payer ID Railroad
500029674

Practice Associates & Co-Workers

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

25 Associated Practitioners
NPI 1063300820

Doctor of Optometry

NPI 1104995737

Doctor of Medicine (M.D.)

Dr. Joshua Attridge , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1144247198

Doctor of Medicine (M.D.)

Anne Hedelt , FNP

Nurse Practitioner - Family

NPI 1215070644

Family Nurse Practitioner

Dr. Megan Bray , MD

Obstetrics & Gynecology

NPI 1235137381

Doctor of Medicine (M.D.)

NPI 1235225004

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 06, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2015

Registered at 2955 IVY RD, SUITE 201 UNIVERSITY OF VIRGINIA HEALTH SYSTEM NORTHRID, CHARLOTTESVILLE, VA 22903 (Tel: 4342434531)

📍
Updated Business Mailing Address January 06, 2015

Registered at 588 B RESERVOIR RIDGE RD, CHARLOTTESVILLE, VA 22901 (Tel: 4349781361)

👤
Provider Name / Credentials Updated January 06, 2015

Recorded as MARY STACK, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2015

Registered Nurse (License #0001096552 in VA)

🟢
Initial NPI Registration & Enumeration October 26, 2006

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: 1437234770
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2006
Last Update: January 06, 2015
Sole Proprietor: No

Mailing Address

588 B Reservoir Ridge Rd

Charlottesville, VA 22901

Phone: 4349781361

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.