Stacie Renee Cameron, DNP, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP134626 Issued in TX

Practice address

5040 Kinsey Dr Ste 300
Tyler, TX 75703-3046

Phone

(903) 561-8300

Fax

(903) 561-8327

NPI assigned

Jul 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Tyler Wellness Clinic

  • Primary Care Clinic/Center
  • Tyler, TX
  • NPI 1508572959
  NPD Authorized official
• Stephen C Spain

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1689718702
  NPD (past)

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1336662907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 KINSEY DR STE 300",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033046",
            "telephone_number": "903-561-8300",
            "fax_number": "903-561-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 KINSEY DR STE 300",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033046",
            "telephone_number": "903-561-8300",
            "fax_number": "903-561-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "STACIE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Calodney, M.D.
• Leann Dawn Calvin, AGACNP-BC
• Charline L Camero, O.D.
• Erin Cameron, LPC
• Ricky Cameron, MD
• John Thomas Camp, MD
• Angela Hughes Campbell, PHARM.D., MS, BCPP
• Jamie Campbell
• Jasmine Campbell, COTA
• Jill Ann Campbell, MS, RD, LD, CDE

• All providers in Tyler, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.