Active NPI
Stephanie Edwards, FNP
- Family Nurse Practitioner
- Denison, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1057172
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.84 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 743164 | TX | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texomacare Specialty Physicians | Current | 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
- stephanie.edwards@tcsp.eclinicaldirectplus.com
- 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.
-
- Cardiovascular Disease Physician
- Denison, TX
- NPI 1548541733
-
- Family Medicine Physician
- Denison, TX
- NPI 1740233592
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denison, TX
- NPI 1851390967
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.