Individual provider Active NPI

Stormie Gillespie, APRN, FNP-C

  • Nurse Practitioner
  • Killeen, TX
National Provider Identifier
1124658653
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP144597 Issued in TX
Practice address
3310 E Central Texas Expy Ste 201
Killeen, TX 76543-5308
Phone
(855) 876-7246
Fax
(855) 277-5070
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP144597 TX Primary
Family Nurse Practitioner 363LF0000X AP144597 TX

Addresses

Primary practice location

3310 E Central Texas Expy Ste 201
Killeen, TX 76543-5308

Mailing address

PO Box 208361
Dallas, TX 75320-8361
Phone (512) 485-7208

Other identifiers 3

IdentifierTypeStateIssuer
2P3514OtherTXTEXAS MEDICARE
2P3515OtherTXTEXAS MEDICARE
AP144597OtherTXTEXAS NURSING LICENSE

Other names 1

  • Stormie Cantwell Former name

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
I20230215000587 TX Practitioner - Nurse Practitioner 9436521721 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians
Expressmd Urgent Care PLLCGroup PAC ID 6204029291, 6 clinicians

Practice addresses (Care Compare)

12400 W Hwy 290
Suite 420
Austin, TX 78737-9445
Phone (281) 783-8162

1246 N FM 3083 Rd W
Suite B
Conroe, TX 77304-5340
Phone (281) 783-8162

1616 FM
685 Suite 106
Pflugerville, TX 78660-7537
Phone (512) 252-9094

16312 Southwest Fwy
Sugar Land, TX 77479-2371
Phone (281) 783-8162

8100 Hwy 6 N
Suite E
Houston, TX 77095-1923
Phone (281) 783-8162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144597TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Nov 7, 2024 Accepting new patients
Nluc PLLC CurrentSince Nov 7, 2024 Accepting new patients
Central Texas Pain Institute PLLC CurrentSince Jan 1, 2023 Accepting new patients
Expressmd Urgent Care PLLC CurrentSince Feb 25, 2024 Accepting new patients
Central Texas Pain Center, PLLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

4100 Duval Rd
Bldg Iii
Austin, TX 78759

6342 Phelan Blvd
Beaumont, TX 77706
Phone (281) 783-7182

1401 Medical Pkwy
Bldg 2
Cedar Park, TX 78613

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

3310 E Central Texas Expy
Ste 201
Killeen, TX 76543
Phone (558) 767-2468

101 Winding Way St
Ste A
Lake Jackson, TX 77566

1616 FM 685
Ste 106
Pflugerville, TX 78660
Phone (512) 252-9094

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

305 Clinite Grove Blvd
Temple, TX 76502

Organizations & group practices 5

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1124658653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208361",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208361",
            "telephone_number": "512-485-7208",
            "fax_number": "844-364-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 E CENTRAL TEXAS EXPY STE 201",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435308",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "STORMIE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP144597",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144597",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICARE",
            "identifier": "2P3514",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICARE",
            "identifier": "2P3515",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS NURSING LICENSE",
            "identifier": "AP144597",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STORMIE",
            "last_name": "CANTWELL",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.