Stacey Jantzen, AGACNP-BC in Mansfield, TX - Medicare Nurse Practitioner

Stacey Jantzen, AGACNP-BC is a medicare enrolled "Nurse Practitioner" in Mansfield, Texas. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Radiology Associates Of North Texas Pa and her current practice location is 2700 E Broad St, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 242-6440.

Stacey Jantzen is licensed to practice in Texas (license number 1017499) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760056527.

Contact Information

	Stacey Jantzen, AGACNP-BC
	2700 E Broad St, Mansfield, TX 76063-5899
	(682) 242-6440
	(682) 242-6445

Map and Direction

Provider's Profile

Full Name	Stacey Jantzen
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	2700 E Broad St, Mansfield, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacey Jantzen graduated from nursing school in 2013

NPI Data:

NPI Number: 1760056527
Provider Enumeration Date: 05/17/2021
Last Update Date: 08/09/2021

Medicare PECOS Information:

PECOS PAC ID: 6800290776
Enrollment ID: I20210814000436

Medical Identifiers

Medical identifiers for Stacey Jantzen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760056527	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1017499 (Texas)	Primary
363LA2100X	Nurse Practitioner - Acute Care	1017499 (Texas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Mansfield Medical Center	Mansfield, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Radiology Associates Of North Texas Pa	7911897301	295

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacey Jantzen allows following entities to bill medicare on her behalf.

Entity Name	Radiology Associates Of North Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710970975 PECOS PAC ID: 7911897301 Enrollment ID: O20040617000531

Entity Name	Clinical Care In Radiology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578331393 PECOS PAC ID: 8729429592 Enrollment ID: O20240510000224

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Jantzen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stacey Jantzen, AGACNP-BC 816 W Cannon St, Fort Worth, TX 76104-3194 Ph: (817) 321-0391	Stacey Jantzen, AGACNP-BC 2700 E Broad St, Mansfield, TX 76063-5899 Ph: (682) 242-6440

Reviews and Comments

Nurse Practitioner Nurses in Mansfield, TX

Ms. Courtney Miller, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1707 Clover Hill Rd, Mansfield, TX 76063 Phone: 817-456-8798
Mr. Laurence A. Gadbois Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 Lockshire Dr, Mansfield, TX 76063 Phone: 682-225-0319
Mrs. Linda Gail Langston, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 E Broad Street Suite 400, Mansfield, TX 76063 Phone: 817-477-9292
Mrs. Renee Rachelle Baril, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 N Miller Rd Ste 300, Mansfield, TX 76063 Phone: 682-341-7510 Fax: 682-341-7511
Mrs. Saaghe Mmbi Fogwe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Heritage Pkwy Ste 225, Mansfield, TX 76063 Phone: 817-453-7522 Fax: 866-665-6659
Oluwatosin B Ajibola, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Captains Ct, Mansfield, TX 76063 Phone: 817-239-2205
Mrs. Tanita Breyannen Denae Butler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-0267

Stacey Jantzen, AGACNP-BC - Medicare Nurse Practitioner in Mansfield, TX