Timothy Kyle Stacks, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

149855 Issued in NC

Practice address

100 Brewster Blvd
Naval Hospital Camp Lejeune
Camp Lejeune, NC 28547-2538

Phone

(910) 450-4791

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Low Country Anesthesia, PAGroup PAC ID 8729063797, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
• Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Low Country Anesthesia, PA

  • Anesthesiology Physician
  • Beaufort, SC
  • NPI 1417928268
  Medicare reassignment Care Compare group NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  NC, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Nurse Anesthesia of North Carolina, PLLC

  • Certified Registered Nurse Anesthetist
  • Elizabeth City, NC
  • NPI 1689628729

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Beaufort County Memorial Hospital

  • Emergency Medicine Physician
  • Beaufort, SC
  • NPI 1871335018
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashe Memorial Hospital Inc

  • Critical Access Hospital
  • Jefferson, NC
  • NPI 1376671370
  Care Compare affiliation
• Beaufort County Memorial Hospital

  • General Acute Care Hospital
  • Beaufort, SC
  • NPI 1366436073
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447224936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DOCKSIDE DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285469768",
            "telephone_number": "910-353-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "address_2": "NAVAL HOSPITAL CAMP LEJEUNE",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472538",
            "telephone_number": "910-450-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACKS",
        "first_name": "TIMOTHY",
        "middle_name": "KYLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "149855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Sosa III
• Edwin Soto, IDC
• Barbra Bryce Speer, D.O.
• Casandra M Spreen, M.D.
• Elizabeth Louise Spresser, LMFT
• Kristie Alexandra Staine, LCSW
• Cody Stanley, SOIDC
• Tonya Yvette Stanley, LCSW
• Michael Cashen Stark, DMD
• Kevin Thomas Stearns, PA-S

• Certified Registered Nurse Anesthetist in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.