Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Todd Aaron Stack, MMSC

Individual provider Physician Assistant · NPI 1578809406

Mr. Todd Aaron Stack, MMSC is a Physician Assistant in Reno, Nevada. Qualified in 2012, 14 years ago. Practices with Edwards Bell MD PC, a 6-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2012
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1180 W Peckham Ln
Reno, NV 89509-5220
Phone: (512) 410-9650
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 572271 (TX)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1578809406
Entity typeIndividual (Type 1)
GenderMale
Credentials MMSC
Sole proprietorNo
NPI enumeratedDecember 20, 2012
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022
Mailing address1703 Country Club Drive, Midlad, TX 79701

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Edwards Bell Md Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Reno