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Bethany Lynn Stack, P.A.

Medical Physician Assistant in Rutland, VT · enumerated 2005 · practices at Vermont Orthopaedic Clinic Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184619876

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Registry record

Entity type Individual (Type 1)
Name Bethany Lynn Stack
Credential P.A.
Sex Female
Practice address Rutland, VT, 05701
Fax (802) 773-0934
Enumeration date Sep 19, 2005
Last updated in NPPES Mar 3, 2011

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 055-0030670 (VT) Primary
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

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.

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Frequently asked questions

What is the NPI number for Bethany Stack?
The National Provider Identifier (NPI) for Bethany Stack is 1184619876, a Type 1 (individual) record in the CMS NPPES registry.
Where does Bethany Stack practice?
The practice location on file with NPPES is in Rutland, VT. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-03-03.