Individual provider Active NPI

Kandace Steffek, FNP C

  • Nurse Practitioner
  • Bay City, TX
National Provider Identifier
1386024065
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP128253 Issued in TX
Practice address
1120 Avenue G
Bay City, TX 77414-3541
Phone
(979) 245-5721
Fax
(979) 245-1482
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP128253 TX Primary

Addresses

Primary practice location

1120 Avenue G
Bay City, TX 77414-3541

Mailing address

1120 Avenue G
Bay City, TX 77414-3541
Phone (979) 245-5721

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
I20150818005654 TX Practitioner - Nurse Practitioner 9739494899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dane D Simons MD PAGroup PAC ID 8921046053, 2 clinicians

Practice addresses (Care Compare)

1120 Ave G
Bay City, TX 77414-3541
Phone (979) 245-5721

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Bay City, TX, CCN 679345
  • Matagorda Regional Medical Center Hospital, Bay City, TX, CCN 450465

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP128253TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dane D Simons MD PA CurrentSince Jun 8, 2015 Accepting new patients

Locations

1120 Avenue G
Bay City, TX 77414
Phone (979) 245-5721

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1386024065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 AVENUE G",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143541",
            "telephone_number": "979-245-5721",
            "fax_number": "979-245-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 AVENUE G",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143541",
            "telephone_number": "979-245-5721",
            "fax_number": "979-245-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFFEK",
        "first_name": "KANDACE",
        "credential": "FNP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP128253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

Verify at the official NPI Registry.