Active NPI
Beverly Stephens-Martin, APRN-CNP
- Primary Care Nurse Practitioner
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1157461
- Practice address
- 303 E Airline Rd Ste 1
Victoria, TX 77901-3957 - Phone
- (361) 649-3451
- Fax
- (361) 214-7252
- NPI assigned
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 892315 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | 1157461 | TX | Primary |
Addresses
Primary practice location
303 E Airline Rd Ste 1
Victoria, TX 77901-3957
Mailing address
303 E Airline Rd Ste 1
Victoria, TX 77901-3957
Phone (361) 649-3451
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2701 Hospital Dr
Victoria, TX 77901-5748
Phone (361) 573-9181
303 E Airline Rd
Suite 1
Victoria, TX 77901-3957
Phone (361) 649-3450
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 892315 | TX | MD | Registered Nurse |
| 1157461 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kerri Pillar, PLLC | Primary Care | Current | Accepting new patients |
| Oleander Emergency Medicine Associates PA | Current | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
200 Corporate Blvd
Lafayette, LA 70508
2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180
303 E Airline Rd
Ste 1
Victoria, TX 77901
Phone (361) 575-8203
Organizations & group practices 4
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.
-
- Primary Care Nurse Practitioner
- Victoria, TX
- NPI 1285267419
-
- Emergency Medicine Physician
- Victoria, TX
- NPI 1346515103
-
- Emergency Medicine Physician
- Allen, TX
- NPI 1609625995
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717804800000",
"number": "1104690999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E AIRLINE RD STE 1",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779013957",
"telephone_number": "361-649-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E AIRLINE RD STE 1",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779013957",
"telephone_number": "361-649-3451",
"fax_number": "361-214-7252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS-MARTIN",
"first_name": "BEVERLY",
"credential": "APRN-CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-13",
"last_updated": "2024-06-08",
"certification_date": "2024-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "892315",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "1157461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; 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.