Individual provider Active NPI

Stevan Cuellar, NP-C

  • Family Nurse Practitioner
  • Allen, TX
National Provider Identifier
1265066468
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141177 Issued in TX
Practice address
515 W Main St Ste 115
Allen, TX 75013-8057
Phone
(214) 491-4191
Fax
(469) 519-0407
NPI assigned
Feb 26, 2020
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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 AP141177 TX Primary

Addresses

Primary practice location

515 W Main St Ste 115
Allen, TX 75013-8057

Mailing address

1060 FM 983
Ferris, TX 75125-9117
Phone (972) 978-0627

Other identifiers 2

IdentifierTypeStateIssuer
F03190044OtherTXAMERICAN ACADEMY OF NURSE PRACTITIONERS
AP141177OtherTXTEXAS BOARD OF NURSING

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
I20200330003919 TX Practitioner - Nurse Practitioner 5092144816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Urgent Care, P.a.Group PAC ID 2163695107, 8 clinicians

Practice addresses (Care Compare)

1601 N Hwy 77
Waxahachie, TX 75165-7812
Phone (817) 473-9473

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Urgent Care, P.a. CurrentSince Aug 22, 2023 Accepting new patients
North Texas Urgent Care, P.a. CurrentSince Aug 22, 2023 Accepting new patients
Tele-Monitor Services of Texas PLLC CurrentSince Apr 13, 2025 Accepting new patients

Locations

7367 N Beach St
Ft Worth, TX 76137
Phone (682) 204-0042

1669 S 9th St
Ste 100
Midlothian, TX 76065
Phone (817) 473-9473

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": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1265066468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 FM 983",
            "city": "FERRIS",
            "state": "TX",
            "postal_code": "751259117",
            "telephone_number": "972-978-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W MAIN ST STE 115",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138057",
            "telephone_number": "214-491-4191",
            "fax_number": "469-519-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUELLAR",
        "first_name": "STEVAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F03190044",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP141177",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.