Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Bethany Lynn Stack, PA

Individual provider Medical Physician Assistant · NPI 1184619876

Bethany Lynn Stack, PA is a Physician Assistant in Rutland, Vermont. Qualified in 2003, 23 years ago. Practices with Rutland Hospital, Inc, a 186-clinician group and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
23
Licensed in
VT
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3 Albert Cree Dr
Rutland, VT 05701-4601 Not confirmed with CMS for 15 years — call before visiting
Phone: (802) 775-2937
Fax: (802) 773-0934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 055-0030670 (VT)

Record details

NPI number1184619876
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 19, 2005
Last updated in NPPESMarch 3, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Rutland Hospital, Inc. — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients279
Services billed 660 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Rutland Hospital, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 186 clinicians in the practice; 12 are shown here.

Other providers in Rutland