Individual provider Active NPI

Stefanie Bertie McCain, M.D.

  • Obstetrics & Gynecology Physician
  • Abilene, TX
National Provider Identifier
1265539688
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K0123 Issued in TX
Practice address
19 Hospital Dr
Abilene, TX 79606-5269
Phone
(325) 690-0620
Fax
(325) 690-0622
NPI assigned
Sep 20, 2006
Last updated
Jun 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K0123 TX Primary

Addresses

Primary practice location

19 Hospital Dr
Abilene, TX 79606-5269

Mailing address

19 Hospital Dr
Abilene, TX 79606-5269
Phone (325) 690-0620

Other identifiers 1

IdentifierTypeStateIssuer
0899221-01MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000220 TX Practitioner - Obstetrics/Gynecology 3476678301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1038 Early Blvd
Early, TX 76802-2211
Phone (325) 646-4800

19 Hospital Dr
Abilene, TX 79606-5269
Phone (325) 690-0620

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stefanie McCain MD-Brownwood-PA CurrentSince Nov 1, 2015 Accepting new patients
Stefanie B McCain, M.D. PA Obstetrics & Gynecology CurrentSince Jul 7, 2010 Accepting new patients

Locations

1680 Antilley Rd
Ste 370
Abilene, TX 79606
Phone (325) 690-0620

19 Hospital Dr
Abilene, TX 79606
Phone (325) 690-0620

1038 Early Blvd
Early, TX 76802
Phone (325) 646-4800

Interoperability endpoints

  • Direct secure messaging: stefaniemccain@mccain.nablemd.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1265539688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HOSPITAL DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065269",
            "telephone_number": "325-690-0620",
            "fax_number": "325-690-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HOSPITAL DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065269",
            "telephone_number": "325-690-0620",
            "fax_number": "325-690-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "STEFANIE",
        "middle_name": "BERTIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K0123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0899221-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.