Individual provider Active NPI

Stephanie Simpson, FNP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1437828704
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1054184 Issued in TX
Practice address
12188 Amstater Cir
El Paso, TX 79936-0274
Phone
(915) 271-1969
NPI assigned
Sep 9, 2021
Last updated
Sep 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1054184 TX Primary

Addresses

Primary practice location

12188 Amstater Cir
El Paso, TX 79936-0274

Mailing address

12188 Amstater Cir
El Paso, TX 79936-0274

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
I20240307000147 TX Practitioner - Nurse Practitioner 2567808090 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1054184TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Consultants of El Paso CurrentSince Jan 27, 2024 Accepting new patients
Complete Care Partners LLC PastSince Jan 27, 2024 Accepting new patients

Locations

125 W Hague Rd
Ste 440
El Paso, TX 79902
Phone (915) 533-5733

125 W Hague Rd
Ste 570
El Paso, TX 79902
Phone (915) 541-1156

1566 Lomaland Dr
El Paso, TX 79935
Phone (915) 544-7767

5255 Woodrow Bean
Ste 9
El Paso, TX 79924
Phone (915) 544-7767

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.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1437828704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12188 AMSTATER CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188 AMSTATER CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360274",
            "telephone_number": "915-271-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1054184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.