Stephen Ray Halberg

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP144219 Issued in TX

Practice address

901 Indiana Ave Ste 540
Wichita Falls, TX 76301-6734

Phone

(940) 249-5253

NPI assigned

Nov 28, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Micah Boyer MDGroup PAC ID 8426482159, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Micah Boyer MD

  • Family Medicine Physician
  • Wichita Falls, TX
  • NPI 1114564085
  Medicare reassignment Care Compare group NPD
• Little Black Bag House Calls LLC

  • General Practice Physician
  • Wichita Falls, TX
  • NPI 1376078881
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• United Regional Health Care System Inc

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575676800000",
    "number": "1245877000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 KINTA TRL",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763108165",
            "telephone_number": "940-782-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 INDIANA AVE STE 540",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016734",
            "telephone_number": "940-249-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBERG",
        "first_name": "STEPHEN",
        "middle_name": "RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-28",
        "last_updated": "2019-12-07",
        "certification_date": "2019-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP TEXAS BOARD OF NURSING",
            "identifier": "AP144219",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• H Ghanbari MD PA
• Shelly Fay Haferkamp, DO
• Jamie Lyn Hager, LVN
• Emma Halberg
• Kristina Lynn Halberg, MSN, NP-C
• Christopher Hale, LPC
• Megan Hale, M.A., LPC
• Albert Dane Hall
• Caitlin Taylor Hall, MS, ATC, LAT
• Charles Hall, CRNA

• Family Nurse Practitioner in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.