Bethany Lynn Stack, P.A.
Bethany Lynn Stack is a Medical Physician Assistant provider (Physician Assistant) practicing in Rutland, VT, registered in the NPPES registry with NPI 1184619876 since 2005. The credential PA stands for Physician Assistant. Practices at Vermont Orthopaedic Clinic Inc (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1184619876 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Bethany Lynn Stack |
| Credential | P.A. |
| Sex | Female |
| Practice address | Rutland, VT, 05701 |
| Phone | 8027752937 |
| Fax | 8027730934 |
| Enumeration date | 2005-09-19 |
| Last updated in NPPES | 2011-03-03 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363AM0700X | Medical Physician Assistant | Primary | 055-0030670 | VT |
PA — Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00059907 | Other | VT | BCBS |
Copy-ready billing details
Provider: Bethany Stack, P.A. NPI: 1184619876 Taxonomy: 363AM0700X (Medical Physician Assistant) Address: Rutland, VT, 05701
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407841265 | Joseph Vargas | Individual | Specialist | Rutland, VT |
| 1437144268 | Ann Stein | Individual | Specialist | Rutland, VT |
| 1104811884 | James Hollinshead | Individual | Medical Physician Assistant | Rutland, VT |
| 1861478497 | Matthew Gammons | Individual | Sports Medicine (Preventive Medicine) Physician | Rutland, VT |
| 1003883869 | Eric Marsh | Individual | Surgery Physician | Rutland, VT |
| 1669623195 | Daniel Cole | Individual | Physician Assistant | Rutland, VT |
| 1699901603 | Michael Dorion | Individual | Athletic Trainer | Rutland, VT |
| 1780810705 | Tyler White | Individual | Athletic Trainer | Rutland, VT |
Verify this record
Cross-check NPI 1184619876 against the authoritative CMS record: view Bethany Lynn Stack on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Bethany Stack?
Where does Bethany Stack practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-03-03.