Individual provider Active NPI

Paula D Stultz, ARNP

  • Nurse Practitioner
  • Brownwood, TX
National Provider Identifier
1164569737
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1233609 Issued in TX
Practice address
2371 Crockett Dr Ste 104
Brownwood, TX 76801-5920
Phone
(325) 641-1140
Fax
(833) 305-2398
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1233609 TX Primary
Nurse Practitioner 363L00000X 45671 KS
Nurse Practitioner 363L00000X A132762 IA

Addresses

Primary practice location

2371 Crockett Dr Ste 104
Brownwood, TX 76801-5920

Mailing address

2371 Crockett Dr
Brownwood, TX 76801-5903
Phone (325) 641-1140

Other identifiers 3

IdentifierTypeStateIssuer
P00649303OtherMORRMCR PTAN
P00722394OtherKSRAILROAD MEDICARE PIN
200310550BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20130412000572 IA Practitioner - Nurse Practitioner 2567418908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Medical CenterGroup PAC ID 4183535271, 295 clinicians

Practice addresses (Care Compare)

1765 Lininger LN
Suite 1
North Liberty, IA 52317-2336
Phone (319) 665-3053

600 7TH St SE
101 Care Connections Clinic at Mercy
Cedar Rapids, IA 52401-2125
Phone (319) 398-6860

701 10TH St SE
Cedar Rapids, IA 52403-1251

701 10TH St SE
Cedar Rapids, IA 52403-1292

701 10TH St SE J Edward Lundy
Mercy Pediatric Clinic
Cedar Rapids, IA 52403-1251
Phone (319) 832-2328

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132762IAMDNurse Practitioner
45671KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center Nurse Practitioner CurrentSince Sep 1, 2019 Accepting new patients
Mercy Medical Center CurrentSince Sep 1, 2019 Accepting new patients
Mercy Medical Center Current Accepting new patients
Geriatric Health Services, Inc. Past Accepting new patients
Geriatric Healthcare Services, LLC Past Accepting new patients

Locations

788 8th Ave SE
Ste 300
Cedar Rapids, IA 52401
Phone (319) 369-4542

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

600 7th St SE
Ste 200
Cedar Rapids, IA 52401
Phone (319) 369-4542

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.

Hospital & facility affiliations 2

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1164569737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 CROCKETT DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015903",
            "telephone_number": "325-641-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2371 CROCKETT DR STE 104",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015920",
            "telephone_number": "325-641-1140",
            "fax_number": "833-305-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULTZ",
        "first_name": "PAULA",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1233609",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45671",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A132762",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR PTAN",
            "identifier": "P00649303",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00722394",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200310550B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.