Individual provider Active NPI

Stephanie A Hilton, PA-C

  • Physician Assistant
  • Hurst, TX
National Provider Identifier
1154658938
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06431 Issued in TX
Practice address
779 Grapevine Hwy
Hurst, TX 76054-2805
Phone
(817) 428-7300
Fax
(817) 428-1085
NPI assigned
Nov 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06431 TX Primary

Addresses

Primary practice location

779 Grapevine Hwy
Hurst, TX 76054-2805

Mailing address

PO Box 9101
Coppell, TX 75019-9494
Phone (972) 745-7500

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
I20191104000349 TX Practitioner - Physician Assistant 2961734462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

104 S Main St
Keller, TX 76248-5003
Phone (214) 295-9385

2432 Avondale Haslet Rd
Suite 100
Haslet, TX 76052-3446
Phone (817) 928-3149

6401 NE Loop
820 Suite 200
North Richland Hills, TX 76180-6394
Phone (817) 893-1630

7232 N Fwy
Fort Worth, TX 76137-2481
Phone (817) 439-8100

779 Grapevine Hwy
Hurst, TX 76054-2805
Phone (817) 428-7300

8541 Davis Blvd
North Richland Hills, TX 76182-8311
Phone (817) 893-1940

8901 N Fwy 111
Fort Worth, TX 76177-7655
Phone (469) 778-5228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1154658938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9101",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750199494",
            "telephone_number": "972-745-7500",
            "fax_number": "972-745-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 GRAPEVINE HWY",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542805",
            "telephone_number": "817-428-7300",
            "fax_number": "817-428-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILTON",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.