Individual provider Active NPI

Stephanie Edwards, FNP

  • Family Nurse Practitioner
  • Denison, TX
National Provider Identifier
1396408134
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1057172 Issued in TX
Practice address
Texoma Medical Center
4616 US Hwy 75, Suite 203
Denison, TX 75020
Phone
(903) 416-6470
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 743164 TX
Family Nurse Practitioner 363LF0000X 1057172 TX Primary

Addresses

Primary practice location

Texoma Medical Center
4616 US Hwy 75, Suite 203
Denison, TX 75020

Mailing address

Texoma Medical Center
4616 US Hwy 75, Suite 203.
Denison, TX 75020-3030
Phone (903) 416-6470

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
I20211216000692 TX Practitioner - Nurse Practitioner 6103217781 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
Texomacare Specialty PhysiciansGroup PAC ID 4880858364, 37 clinicians

Practice addresses (Care Compare)

5012 S US Hwy 75
Suite 100
Denison, TX 75020-4597
Phone (903) 416-6325

5012 S US Hwy 75
Suite 275
Denison, TX 75020-4632
Phone (903) 416-6550

Hospital & facility affiliations

  • Texoma Medical Center Hospital, Denison, TX, CCN 450324

Merit-based Incentive Payment System (MIPS)

Final score
76.84 of 100Reported as group
Quality
57.18
Promoting interoperability
86
Improvement activities
40
Cost
70.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
743164TXMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Texomacare Specialty Physicians CurrentSince Feb 1, 2022 Accepting new patients
Texomacare Family Past Accepting new patients

Locations

5012 S US Highway 75
Ste 275
Denison, TX 75020
Phone (903) 416-6325

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

5012 S US Highway 75
Ste 240
Denison, TX 75020
Phone (903) 416-6260

4616 US Highway 75
Ste 203
Denison, TX 75020
Phone (903) 416-6460

Interoperability endpoints

  • Direct secure messaging: stephanie.edwards@tcsp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDAGBA

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1396408134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TEXOMA MEDICAL CENTER",
            "address_2": "4616 US HWY 75, SUITE 203.",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203030",
            "telephone_number": "903-416-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEXOMA MEDICAL CENTER",
            "address_2": "4616 US HWY 75, SUITE 203",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "903-416-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "743164",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1057172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.