Individual provider Active NPI

Stacie N Smith, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1144008780
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1136390 Issued in TX
Practice address
512 W Bonds Ranch Rd
Fort Worth, TX 76131-3913
Phone
(817) 488-6369
NPI assigned
Sep 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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 1136390 TX Primary

Addresses

Primary practice location

512 W Bonds Ranch Rd
Fort Worth, TX 76131-3913

Mailing address

512 W Bonds Ranch Rd
Fort Worth, TX 76131-3913
Phone (817) 488-6369

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
I20231003001494 TX Practitioner - Nurse Practitioner 1759735251 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
Telehealth
Offers telehealth services
Group practices
Nextgen Post Acute Services PCGroup PAC ID 7517459647, 8 clinicians
Segue Health of Texas PLLCGroup PAC ID 8921400953, 24 clinicians

Practice addresses (Care Compare)

4401 College Dr
Vernon, TX 76384-4004
Phone (940) 552-9316

6815 Hill CT
Azle, TX 76020-5513
Phone 8885512538101

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Segue Health of Texas PLLC CurrentSince Apr 21, 2025 Accepting new patients
Physician Psych Services PLLC PastSince Sep 15, 2023 Accepting new patients
Ispinerenew PLLC PastSince Aug 9, 2024 Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1144008780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W BONDS RANCH RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761313913",
            "telephone_number": "817-488-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W BONDS RANCH RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761313913",
            "telephone_number": "817-488-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACIE",
        "middle_name": "N",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1136390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.