NPI age
14 years
Enumerated 2011-12-29
● Active
Type 1 · Individual
Pamela Renee Stacy, ACNP
Stacy is 1 of 216 nurse practitioner providers in Tyler and 1 of 22123 in Texas.
Primary specialty
Nurse Practitioner
Plus 3 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-10-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 22123 active nurse practitioner providers in Texas.
NPI age
14 years
↑ 7 yr above median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
2
In the 23% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Practice location
8288 S Broadway Ave
Tyler, TX 757035262
Mailing address
Po Box 846098
Dallas, TX 752846098
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
520 Douglas Blvd
Tyler, TX 757028307
Location 3
5321 S Fm 14
Hawkins, TX 757654839
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse Practitioner(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...
-
Nurse PractitionerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2616977-118 | TRICARE |
| 05 (TX) | 293825001 | |
| 01 (TX) | 75-2616977-007 | TRICARE |
| 01 (TX) | 867N10 | BCBS |
| 01 (TX) | 75-2616977-066 | TRICARE |
| 01 (TX) | 752616977042 | TRICARE |
Practice context
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new nurse practitioner providers have been added in Tyler in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.