Stephanie N Whitenack, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP131671 Issued in TX

Practice address

170 County Road 2756
Mico, TX 78056-5374

Phone

(210) 275-9234

NPI assigned

Aug 30, 2016

Sex

Female

Sole proprietor

No

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.

• Texas Ips LLC

  • Pulmonary Disease Physician
  • San Antonio, TX
  • NPI 1629368535
  Medicare reassignment NPD TX
• Pulmonary Consultants of San Antonio, PA

  • Critical Care Medicine (Internal Medicine) Physician
  • San Antonio, TX
  • NPI 1558367706
  NPD

Merit-based Incentive Payment System (MIPS)

Final score

92.29 of 100Reported as group

Quality

80.58

Promoting interoperability

100

Improvement activities

40

Cost

74.33

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14591/brand/1/csg/1/fhir/r4
• Direct secure messaging: stephanie.whitenack.1@14591.direct.athenahealth.com

• Stephanie Nicole Clark Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2026.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1043766074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 COUNTY ROAD 2756",
            "city": "MICO",
            "state": "TX",
            "postal_code": "780565374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 COUNTY ROAD 2756",
            "city": "MICO",
            "state": "TX",
            "postal_code": "780565374",
            "telephone_number": "210-275-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITENACK",
        "first_name": "STEPHANIE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "737860",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP131671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "CLARK",
            "middle_name": "NICOLE",
            "credential": "RN, AGACNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shanan Mossman DDS PLLC
• Ashley Jean Siegfried
• Charmaine Kathleen Slagle
• Smooth & Mellow Productions LLC
• Jenny Tenayuca

• All providers in Mico, TX
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.