Stacy Novick, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP143141 Issued in TX

Practice address

12701 W State Highway 29
Liberty Hill, TX 78642-6347

Phone

(512) 548-5373

NPI assigned

Sep 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacy.novick.1@28292.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
• Direct secure messaging: stacy.novick@direct.elationemr.com

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

• Harbor Health Medical Group

  • Family Medicine Physician
  • Austin, TX
  • NPI 1396486619
  Medicare reassignment Care Compare group NPD
• Kaela Thurman NP & Associate PLLC

  dba Care First Walk-In Clinic

  • Primary Care Clinic/Center
  • Liberty Hill, TX
  • NPI 1235658790
  Medicare reassignment NPD
• Dustin Dwiggins MD PA

  • Family Medicine Physician
  • Liberty Hill, TX
  • NPI 1679108195
  NPD (past)

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1023669074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 W STATE HIGHWAY 29 STE 5",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426348",
            "telephone_number": "512-548-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 W STATE HIGHWAY 29",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426347",
            "telephone_number": "512-548-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVICK",
        "first_name": "STACY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "738340",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Netherland, L.AC.
• Nga Nguyen
• Debra Sue Nickle, PT
• Hari Priya Nistala
• Alyssa Raelyn Nottingham
• Erica Suzanne O'Brien, OD
• Scot A O'Donnell, D.D.S., M.S.
• Maeve O'Neill, LPC, MAC
• Promise Okeh, FNP-C
• Deborah Okrina, LCSW

• Family Nurse Practitioner in Liberty Hill, TX
• Providers in Liberty Hill, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.