Individual provider Active NPI

Stacy Renae Flores, APRN, FNP

  • Family Nurse Practitioner
  • Big Spring, TX
National Provider Identifier
1194367235
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143467 Issued in TX
Practice address
608 S Aylesford St
Big Spring, TX 79720-2326
Phone
(432) 213-1472
NPI assigned
Oct 10, 2019
Last updated
Oct 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 AP143467 TX Primary

Addresses

Primary practice location

608 S Aylesford St
Big Spring, TX 79720-2326

Mailing address

608 S Aylesford St
Big Spring, TX 79720-2326
Phone (432) 213-1472

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
I20200103001090 TX Practitioner - Nurse Practitioner 6305270109 Reassigns benefits to 2 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
Slater-Delk Medical, PLLCGroup PAC ID 3476875790, 33 clinicians

Practice addresses (Care Compare)

407 Kent St
Midland, TX 79701-5858
Phone (432) 687-2273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Slater-Delk Medical, PLLC CurrentSince Nov 1, 2024 Accepting new patients
C,L and W PLLC CurrentSince Oct 22, 2019 Accepting new patients
MCH Professional Care Past Accepting new patients

Locations

3101 S 27th St
Abilene, TX 79605
Phone (325) 695-5440

4009 Ridgemont Dr
Abilene, TX 79606
Phone (325) 232-8830

2602 S Gregg St
Ste 6
Big Spring, TX 79720
Phone (432) 315-2077

710 S Gregg St
Fl First
Big Spring, TX 79720
Phone (432) 517-4692

407 Kent St
Midland, TX 79701
Phone (432) 687-2273

4400 N Midland Dr
Ste 406A
Midland, TX 79707
Phone (432) 704-5661

3952 E 42nd St
Ste Z
Odessa, TX 79762
Phone (432) 614-5327

Organizations & group practices 3

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": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1194367235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 S AYLESFORD ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202326",
            "telephone_number": "432-213-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S AYLESFORD ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202326",
            "telephone_number": "432-213-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "STACY",
        "middle_name": "RENAE",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.