Individual provider Active NPI

Stephanie Michael Vertrees, M.D.

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1194941211
Registry record updated Mar 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
P3477 Issued in TX
Practice address
8200 N Mopac Expy Ste 270
Austin, TX 78759-8936
Phone
(512) 655-3737
Fax
(512) 298-5354
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X P3477 TX
Neurology Physician 2084N0400X P3477 TX Primary

Addresses

Primary practice location

8200 N Mopac Expy Ste 270
Austin, TX 78759-8936

Mailing address

8200 N Mopac Expy Ste 270
Austin, TX 78759-8936
Phone (512) 655-3737

Other practice location 1

4314 Medical Pkwy Ste 201
Austin, TX 78756-3332
Phone (512) 655-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 31, 2020 through Mar 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P3477TXMDNeuromuscular Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vertrees Headache Center, PLLC Neurology CurrentSince Apr 3, 2022 Accepting new patients
Neuralwatch Texas PLLC PastSince Aug 1, 2012 Accepting new patients

Locations

8200 N Mopac Expy
Ste 270
Austin, TX 78759
Phone (512) 655-3737

4314 Medical Pkwy
Ste 201
Austin, TX 78756
Phone (512) 458-1225

Interoperability endpoints

  • Direct secure messaging: stephanie.vertrees@217291636408324.direct.elationemr.com

Organizations & group practices 2

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648339200000",
    "number": "1194941211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 N MOPAC EXPY STE 270",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598936",
            "telephone_number": "512-655-3737",
            "fax_number": "512-298-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 N MOPAC EXPY STE 270",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598936",
            "telephone_number": "512-655-3737",
            "fax_number": "512-298-5354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4314 Medical Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787563332",
            "country_code": "US",
            "telephone_number": "512-655-3737",
            "fax_number": "512-298-5354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERTREES",
        "first_name": "STEPHANIE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "TX",
            "license": "P3477",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P3477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.