Individual provider Active NPI

Stacy Elaine McEnaney, APRN-CNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1467958819
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136771 Issued in TX
Practice address
4707 Eigel St Ste 100
Houston, TX 77007-3417
Phone
(713) 960-1311
Fax
(832) 653-6407
NPI assigned
Apr 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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 AP136771 TX Primary

Addresses

Primary practice location

4707 Eigel St Ste 100
Houston, TX 77007-3417

Mailing address

4707 Eigel St Ste 100
Houston, TX 77007-3417
Phone (713) 960-1311

Other practice location 1

27150 Highway 290 Ste 100
Cypress, TX 77433-7224
Phone (832) 653-3300

Other practice location 2

2112 W Davis St
Conroe, TX 77304-2049
Phone (713) 960-1311

Other practice location 3

20303 Kingsland Blvd Ste 100
Katy, TX 77450-3010
Phone (713) 960-1311

Other identifiers 1

IdentifierTypeStateIssuer
1841756236OtherTXNIKKO DERMATOLOGY PLLC

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
I20210331001450 TX Practitioner - Nurse Practitioner 8022425487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical School at Houston, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nikko Dermatology PLLCGroup PAC ID 6002146677, 4 clinicians

Practice addresses (Care Compare)

27150 Hwy 290
Suite 100
Cypress, TX 77433-7224
Phone (832) 653-3300

4707 Eigel St
Suite 100
Houston, TX 77007-3417
Phone (713) 960-1311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136771TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nikko Cosmetic Surgery Center CurrentSince Sep 28, 2024 Accepting new patients
Nikko Dermatology PLLC CurrentSince Sep 28, 2024 Accepting new patients
Warthan Dermatology Nacogdoches PLLC Past Accepting new patients

Locations

2112 W Davis St
Conroe, TX 77304
Phone (713) 960-1311

27150 Highway 290
Ste 100
Cypress, TX 77433
Phone (832) 533-0909

4707 Eigel St
Ste 100
Houston, TX 77007
Phone (713) 960-1311

20303 Kingsland Blvd
Ste 100
Katy, TX 77450
Phone (713) 960-1311

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1467958819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 EIGEL ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073417",
            "telephone_number": "713-960-1311",
            "fax_number": "832-653-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 EIGEL ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073417",
            "telephone_number": "713-960-1311",
            "fax_number": "832-653-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27150 Highway 290 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774337224",
            "country_code": "US",
            "telephone_number": "832-653-3300",
            "fax_number": "832-653-6407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2112 W Davis St",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042049",
            "country_code": "US",
            "telephone_number": "713-960-1311",
            "fax_number": "832-653-6407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20303 Kingsland Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774503010",
            "country_code": "US",
            "telephone_number": "713-960-1311",
            "fax_number": "832-653-6407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCENANEY",
        "first_name": "STACY",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NIKKO DERMATOLOGY PLLC",
            "identifier": "1841756236",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.