Terri L Stitle, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

460550 Issued in TX

Practice address

317 N FM Road 1187
Aledo, TX 76008-4200

Phone

(817) 441-7181

Fax

(817) 441-7893

NPI assigned

May 2, 2006

Last updated

Jan 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Terri Lea Martin Former name

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

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shaun Kretzschmar DO PAGroup PAC ID 6800192212, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Weatherford Hospital, Weatherford, TX, CCN 450203
• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Shaun Kretzschmar DO PA

  dba Aledo Family Medicine

  • Family Medicine Physician
  • Aledo, TX
  • NPI 1912379322
  Medicare reassignment Care Compare group NPD
• Bay Outpatient Rehab Clinic LLC

  dba Doctors At Home

  • Gynecology Physician
  • Fort Worth, TX
  • NPI 1881793982

  Family

  NPD (past)
• Fort Worth Primary Care Providers

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1699708362
  NPD (past)
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)
• United Hospice Services, Inc.

  dba DFW Primary Care Providers

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1760427819
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation
• Weatherford Health Services, LLC

  dba Medical City Weatherford

  • General Acute Care Hospital
  • Weatherford, TX
  • NPI 1417471467
  Care Compare affiliation

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1457319162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N FM ROAD 1187",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760084200",
            "telephone_number": "817-441-7181",
            "fax_number": "817-441-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N FM ROAD 1187",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760084200",
            "telephone_number": "817-441-7181",
            "fax_number": "817-441-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITLE",
        "first_name": "TERRI",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "460550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156164902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156164903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156164904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "MARTIN",
            "middle_name": "LEA",
            "credential": "CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sports & Family Chiropractic & Acupuncture, PA
• Charlotte Ann St. Germain, LCSW
• Jennifer Hammond Steward, PHARMD
• Angela Stickels, LPC, LCDC
• Matthew Gorman Stine, DO
• Elise Sutton, AU.D.
• Kerry Mitchell Swacker, RD, LD
• Jessica Tabor
• Zian Ijang Takwi Omene, PMHNP- BC, FNP-C
• Derril Winston Teague, MA, LPC ASSOCIATE

• Family Nurse Practitioner in Aledo, TX
• Providers in Aledo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.

Verify at the official NPI Registry.