Registry record
- NPI
- 1063004158
- Profession
- Nurse Practitioner (NP)
- Specialty
- Family Nurse Practitioner (363LF0000X)
- Practice address
- 503 Main St Ste C
Lake Dallas, TX 75065 - Phone
- 9405355296
- In the registry since
- February 9, 2021
- Last NPPES update
- August 24, 2021
- Sole proprietor
- Yes
- License
- 1029434 (TX)
At this location
One other provider in our data lists 503 Main St Ste C, Lake Dallas as a practice address:
- Ms. Carmen Phillips White, FNP-BC
Family Nurse Practitioner · NPI 1689831562
In context
The NPI number of Madisen Stacks is 1063004158. They are a Family Nurse Practitioner in Lake Dallas, Texas.
Madisen Stacks is one of 2 Family Nurse Practitioners in Lake Dallas and one of 22,499 across Texas in our data.
The NPI has been in the federal registry for 5 years, since February 9, 2021.
Frequently asked questions
What is NPI 1063004158?
NPI 1063004158 is the 10-digit National Provider Identifier assigned to Madisen Stacks, a Family Nurse Practitioner practicing in Lake Dallas, Texas. The record has been in the NPPES registry since February 9, 2021.
How do I verify this provider?
Cross-check NPI 1063004158 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license 1029434 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as August 24, 2021. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.