Individual provider Active NPI

Stephen Lynn McClintock, NP

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1124505953
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135639 Issued in TX
Practice address
4351 Ridgemont Dr Ste a
Abilene, TX 79606-8747
Phone
(254) 245-9175
Fax
(254) 213-7771
NPI assigned
Jul 24, 2018
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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 AP135639 TX Primary

Addresses

Primary practice location

4351 Ridgemont Dr Ste a
Abilene, TX 79606-8747

Mailing address

PO Box 11538
Killeen, TX 76547-1538
Phone (254) 245-9177

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
I20180904000143 TX Practitioner - Nurse Practitioner 7214287861 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Primary Care Clinic AbileneGroup PAC ID 1557808037, 3 clinicians
West Texas Urgent Care LLCGroup PAC ID 1658632872, 14 clinicians

Practice addresses (Care Compare)

3347 S 2ND St
Suite 100
Abilene, TX 79605-1760
Phone (325) 275-7866

4438 S Clack St
Suite 200
Abilene, TX 79606-3634
Phone (325) 704-4470

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP135639TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Urgent Care LLC CurrentSince Nov 1, 2019 Accepting new patients
West Texas Urgent Care LLC CurrentSince Nov 1, 2019 Accepting new patients
My Primary Care Clinic Abilene CurrentSince Mar 6, 2025 Accepting new patients
Dr Tim Martin MD PLLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

1751 N 15th St
Abilene, TX 79603
Phone (325) 673-3531

2110 N Willis St
Ste B
Abilene, TX 79603
Phone (325) 232-8675

3347 S 2nd St
#100
Abilene, TX 79605
Phone (325) 275-7824

4438 S Clack St
Ste 200
Abilene, TX 79606
Phone (325) 704-4470

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.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1124505953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11538",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765471538",
            "telephone_number": "254-245-9177",
            "fax_number": "254-245-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 RIDGEMONT DR STE A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068747",
            "telephone_number": "254-245-9175",
            "fax_number": "254-213-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "STEPHEN",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-24",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.