Individual provider Active NPI

Beverly Stephens-Martin, APRN-CNP

  • Primary Care Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1104690999
Registry record updated Jun 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1157461 Issued in TX
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

Updated by the provider on Jun 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240902000274 TX Practitioner - Nurse Practitioner 2264971431 Reassigns benefits to 2 organizations

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
Oleander Emergency Medicine Associates PAGroup PAC ID 1759544232, 23 clinicians
Elite Hospital Partners, PLLCGroup PAC ID 2062941057, 60 clinicians
Kerri Pillar PLLCGroup PAC ID 0941639124, 2 clinicians

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

LicenseStateTypeSpecialty
892315TXMDRegistered Nurse
1157461TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kerri Pillar, PLLC Primary Care CurrentSince Jun 3, 2024 Accepting new patients
Oleander Emergency Medicine Associates PA CurrentSince Oct 15, 2025 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.