STACEY L BEAN, PA-C — NPI 1831283092 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical in ATLANTIC, IA)

CMS-1500 Box 24J / 33a • NPI

1831283092

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363AM0700X (CMS 97)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical

Box 32 Service Location & ZIP+4

1501 E 10TH ST, ATLANTIC, IA, 50022-1936

✓ 9-Digit EDI 837 ZIP+4 (50022-1936)

Practice Phone & Referral Fax

(712) 243-2850

Fax: (712) 243-7423

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1831283092 (STACEY L BEAN, PA-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1831283092` (NPI-1 Individual Practitioner)
Provider / Legal Name	STACEY L BEAN, PA-C
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical NUCC Code: `363AM0700X` (Physician Assistant, Medical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1501 E 10TH ST, ATLANTIC, IA, 50022-1936
Practice Telephone / Fax	Tel: (712) 243-2850 \| Fax: (712) 243-7423
Administrative Mailing Address	1501 E 10TH ST, ATLANTIC, IA, 50022-1936
Enumeration & Last Sync	Enumerated: 2006-10-03 \| CMS Record Updated: 2019-08-28

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1501 E 10TH ST, ATLANTIC, IA, 50022-1936

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Plain-English Taxonomy & CMS Crosswalk (363AM0700X)

What Does Taxonomy Code 363AM0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AM0700X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 97 (Physician Assistant)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physician Assistant, Medical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (STACEY L BEAN, PA-C)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363AM0700X` — Physician Assistant, Medical Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical	State: IA \| License: `001688` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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STACEY L BEAN, PA-C (NPI #1831283092)