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Dr. Sarah Stackley , DO

Pediatrics β€’ Cottonwood, AZ

Active NPI 1033560610 Individual Practitioner Female Practitioner
Practice location in NPPES

800 Cove Pkwy
Cottonwood, AZ 863264644

Call 9286493003 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

800 Cove Pkwy

Cottonwood, AZ 863264644

Telephone 9286493003
Organization at the Same NPPES Address or Phone
Red Rock Pediatrics Facility NPI 1023085115

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Stackley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Stackley as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cottonwood and Arizona

6 active clinicians are listed under Pediatrics with a practice address in Cottonwood, AZ (1,310 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-27
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES AZ 010489

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES NE 1921

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
133417 (AZ)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL PRACTICE

Medicare Enrollment ID

I20231011000954

Enrollment State Jurisdiction

AZ

PECOS Control ID

1153776125

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location September 27, 2023

Registered at 800 COVE PKWY, COTTONWOOD, AZ 863264644 (Tel: 9286493003)

πŸ“
Updated Business Mailing Address September 27, 2023

Registered at 2108 E THOMAS RD STE 130, PHOENIX, AZ 850160008 (Tel: 6029333124)

πŸ“
Updated Practice Location August 07, 2020

Registered at 0005 MEDICAL GROUP @ 5 MDG/SGQ, 194 MISSILE AVE, MINOT AFB, ND 587055024 (Tel: 7017235585)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2020

Pediatrics (license number reported to NPPES: NE 1921)

βœ…
NPI Profile Active June 25, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 25, 2016

Registered at 401 HADDON AVE, THREE COOPER PLAZA, SUITE 200, CAMDEN, NJ 081031505 (Tel: 8563422001)

πŸ“
Business Mailing Address (Initial Record) June 25, 2016

Registered at 205 BURROUGHS MILL CT, CHERRY HILL, NJ 080021258

πŸ‘€
Provider Name / Credentials (Initial Record) June 25, 2016

Recorded as SARAH STACKLEY, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2016

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 25, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033560610
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2016
Last Update: September 27, 2023
Sole Proprietor: No

Mailing Address

2108 E Thomas Rd Ste 130

Phoenix, AZ 850160008

Phone: 6029333124

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.