Madisen Tayler Stacks

Nurse practitioner in Lake Dallas, Texas · NPI 1063004158

Madisen Stacks is one of 2 nurse practitioners practicing in Lake Dallas, Texas. See all nurse practitioners in Texas. Madisen Stacks practices with Lake Dallas Family Medicine PLLC.

Registry record (NPPES)

NPI
1063004158
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
503 Main St Ste C
Lake Dallas, TX 75065-2878
(940) 535-5296
Enumerated
Feb 9, 2021
Record last updated
Aug 24, 2021
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.