Active NPI
Stacy Harwell, NP
- Acute Care Nurse Practitioner
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1110550
- Practice address
- 2901 4TH St
Longview, TX 75605-5128 - Phone
- (903) 381-7272
- NPI assigned
- Mar 3, 2023
- Last updated
- Apr 27, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1110559 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | 1110550 | TX | Primary |
Addresses
Primary practice location
2901 4TH St
Longview, TX 75605-5128
Mailing address
2901 4TH St
Longview, TX 75605-5128
Other practice location 1
703 S Fleishel Ave Ste 5000
Tyler, TX 75701-2015
Phone (903) 606-2992
Other names 1
- Stacy Harwell
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, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2900 Saint Michael Dr
Suite 401
Texarkana, TX 75503-2343
PO Box
Franklin, TN 37068
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1110559 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Clinics of Longview | Current | Accepting new patients | |
| Diagnostic Clinic of Longview PA | Past | Accepting new patients |
Locations
1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
Interoperability endpoints
- https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4
- stacy.harwell.1@16432.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Internal Medicine Physician
- Longview, TX
- NPI 1407047863
-
- Internal Medicine Physician
- Longview, TX
- NPI 1386638468
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Longview Regional Medical Center
- General Acute Care Hospital
- Longview, TX
- NPI 1528026267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1467152074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756055128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756055128",
"telephone_number": "903-381-7272"
}
],
"practiceLocations": [
{
"address_1": "703 S Fleishel Ave Ste 5000",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012015",
"country_code": "US",
"telephone_number": "903-606-2992",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARWELL",
"first_name": "STACY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-03",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1110559",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1110550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "HARWELL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.