Individual provider Active NPI

Stacy Royer, FNP-C

  • Family Nurse Practitioner
  • Dripping Springs, TX
National Provider Identifier
1053911149
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1017376 Issued in TX
Practice address
170 Benney LN Ste 200
Dripping Springs, TX 78620-5559
Phone
(512) 858-2997
Fax
(855) 270-9668
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1017376 TX Primary

Addresses

Primary practice location

170 Benney LN Ste 200
Dripping Springs, TX 78620-5559

Mailing address

5625 Eiger Rd Ste 200
Austin, TX 78735-8982
Phone (512) 892-7076

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210512000986 TX Practitioner - Nurse Practitioner 0244649853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Austin Family Practice Clinic, PLLCGroup PAC ID 3678564358, 64 clinicians

Practice addresses (Care Compare)

170 Benney LN
Dripping Springs, TX 78620-5558
Phone (512) 892-7076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1017376TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Austin Family Practice Clinic, PLLC CurrentSince Jan 3, 2022 Accepting new patients
Mercy Wellness Clinic Alamo Ranch PLLC CurrentSince Nov 8, 2025 Accepting new patients

Locations

5625 Eiger Rd
Ste 2
Austin, TX 78735

5625 Eiger Rd
Ste 200
Austin, TX 78735

170 Benney Ln
Ste 200
Dripping Springs, TX 78620
Phone (512) 858-2997

18568 Forty Six Pkwy
Ste 1001
Spring Branch, TX 78070
Phone (830) 438-9300

18568 Forty Six Pkwy
Ste 3001
Spring Branch, TX 78070
Phone (830) 438-9300

Interoperability endpoints

  • Direct secure messaging: stacy.royer.1@18292.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1053911149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 EIGER RD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358982",
            "telephone_number": "512-892-7076",
            "fax_number": "855-270-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BENNEY LN STE 200",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786205559",
            "telephone_number": "512-858-2997",
            "fax_number": "855-270-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYER",
        "first_name": "STACY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2023-06-27",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1017376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dripping Springs, TX

Sources for this page

Verify at the official NPI Registry.