Stephens Memorial Hospital District
A Medicare group practice based in Breckenridge, TX: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 4688801715), with 23 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4688801715
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
- Enrolled in
- TX
- Enrollments
- 12
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 13
Enrollment records 12
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20150716001492 | TX | Part A Provider - Skilled Nursing Facility | 1497172514 |
| O20150217001018 | TX | Part B Supplier - Clinic/Group Practice | 1518361369 |
| O20170919001036 | TX | Part A Provider - Skilled Nursing Facility | 1225022908 |
| O20170809002364 | TX | Part A Provider - Skilled Nursing Facility | 1831593029 |
| O20170721000197 | TX | Part A Provider - Skilled Nursing Facility | 1952709131 |
| O20170802002089 | TX | Part A Provider - Skilled Nursing Facility | 1003246919 |
| O20140222000192 | TX | Part A Provider - Rural Health Clinic | 1336560382 |
| O20220520002327 | TX | Part A Provider - Skilled Nursing Facility | 1467108837 |
| O20220603001475 | TX | Part A Provider - Skilled Nursing Facility | 1669021721 |
| O20240216002394 | TX | Part A Provider - Skilled Nursing Facility | 1922880012 |
| O20250502002510 | TX | Part A Provider - Critical Access Hospital | 1205257029 |
| O20250502002332 | TX | Part A Provider - Critical Access Hospital | 1285065623 |
NPIs in this group 12
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Stephens Memorial Hospital District
- Skilled Nursing Facility
- Cedar Hill, TX
- NPI 1003246919
-
Stephens Memorial Hospital District
dba Stephens Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Breckenridge, TX
- NPI 1205257029
-
Stephens Memorial Hospital District
dba Park Village Healthcare and Rehabilitation
- Skilled Nursing Facility
- Desoto, TX
- NPI 1225022908
-
Stephens Memorial Hospital District
dba Stephens Memorial Hospital
- Critical Access Hospital
- Breckenridge, TX
- NPI 1285065623
-
Stephens Memorial Hospital District
dba Breckenridge Medical Center
- Rural Health Clinic/Center
- Breckenridge, TX
- NPI 1336560382
-
Stephens Memorial Hospital District
dba Reunion Plaza Healthcare & Rehabilitation
- Skilled Nursing Facility
- Tyler, TX
- NPI 1467108837
-
Stephens Memorial Hospital District
dba Avir at Stephenville
- Skilled Nursing Facility
- Stephenville, TX
- NPI 1497172514
-
Stephens Memorial Hospital District
dba SMH Urgent Care
- Urgent Care Clinic/Center
- Breckenridge, TX
- NPI 1518361369
-
Stephens Memorial Hospital District
dba Mabank Nursing Center
- Skilled Nursing Facility
- Mabank, TX
- NPI 1669021721
-
Stephens Memorial Hospital District
dba Avir at Baird
- Skilled Nursing Facility
- Baird, TX
- NPI 1831593029
-
Stephens Memorial Hospital District
dba Briarcliff Health Center of Greenville
- Skilled Nursing Facility
- Greenville, TX
- NPI 1922880012
-
Stephens Memorial Hospital District
dba Heritage at Turner Park Health & Rehab
- Skilled Nursing Facility
- Grand Prairie, TX
- NPI 1952709131
Practice locations
- Breckenridge, TX5
- Stephenville, TX1
- Mabank, TX1
- Tyler, TX1
- Baird, TX1
- Grand Prairie, TX1
- Cedar Hill, TX1
- Desoto, TX1
- Greenville, TX1
Clinicians 23
Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (3).
-
Olabisi Oluseun Agbaje, APRN
- Family Nurse Practitioner
- Stephenville, TX
- NPI 1730698317
-
Emily Barkanic, MD
- Emergency Medicine Physician
- Temple, TX
- NPI 1699152215
-
Andrew Christopher Diaz, M.D.
- Family Medicine Physician
- Fort Worth, TX
- NPI 1962814061
-
Paul Driver, DO
- Internal Medicine Physician
- Winnsboro, TX
- NPI 1093755621
-
Pamela Ann Ezzell, APRN, FNP-C
- Family Nurse Practitioner
- Cisco, TX
- NPI 1780315267
-
Brandon Scott Gilmore, DO
- Emergency Medicine Physician
- De Leon, TX
- NPI 1952404261
-
Alfonso Ivan Gonzalez, M.D.
- Family Medicine Physician
- Odessa, TX
- NPI 1386606721
-
Benjamin Kingsley, M.D.
- Emergency Medicine Physician
- Corpus Christi, TX
- NPI 1760879845
-
Kathryn Elizabeth Little, M.D
- Emergency Medicine Physician
- Springfield, MO
- NPI 1619133774
-
Kerry L Lockett, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Ballinger, TX
- NPI 1568417673
-
Amy Michelle Lynd, FNP-C
- Family Nurse Practitioner
- Decatur, TX
- NPI 1033743703
-
Brenda M Mahon-Deri, MD
- Emergency Medicine Physician
- Metairie, LA
- NPI 1821187873
-
Larry Len Maples, DO
- Family Medicine Physician
- Breckenridge, TX
- NPI 1033166616
-
Rebecca Lynn McIntire, APRN, FNP
- Family Nurse Practitioner
- Breckenridge, TX
- NPI 1669648036
-
Barbara Monserrat Medina-Palacios, PA
- Medical Physician Assistant
- Breckenridge, TX
- NPI 1982980587
-
Joseph Agage Ouma, M.D.
- Adult Medicine Physician
- Albuquerque, NM
- NPI 1053355735
-
William Elmo Prater, M.D.
- Family Medicine Physician
- Breckenridge, TX
- NPI 1700956539
-
Kevin B Stacks, MD
- Emergency Medicine Physician
- Sherman, TX
- NPI 1679596423
-
Amy Walker, FNP-C
- Family Nurse Practitioner
- Breckenridge, TX
- NPI 1730058371
-
Christina Lee Williamson, FNP-BC
- Nurse Practitioner
- Altus, OK
- NPI 1255038121
-
Gregory Stephan Wilson, MD
- Family Medicine Physician
- Cleburne, TX
- NPI 1659364263
-
Kelli Windsor, DO
- Family Medicine Physician
- Breckenridge, TX
- NPI 1104246057
-
Warren Keith Worsham, MD
- Family Medicine Physician
- Dallas, TX
- NPI 1497073878
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.