Stacy Renee Sims, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Anson, TX
NPI 1497330724 · NPPES record last updated Jul 28, 2022
Key facts
- NPI
- 1497330724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1029233 (TX)
- Practice address
- 400 2ND St
Anson, TX 79501-2101 - Phone
- (325) 823-8032
- NPI assigned
- Mar 17, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Haskell County Hospital
Practice addresses (Care Compare)
1 Ave N
Haskell, TX 79521-5415
Phone 9402284321305
Hospital & facility affiliations
- Haskell Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240426002549 | TX | Practitioner - Nurse Practitioner | 3779923503 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1029233 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haskell County Hospital | Current |
Accepting new patients | |
| Haskell County Hospital | Current |
Accepting new patients | |
| Haskell County Hospital | Current | Accepting new patients |
Locations
1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321
1417 N 1st St
Haskell, TX 79521
Phone (940) 228-0612
1400 S 1st St
Haskell, TX 79521
Phone (940) 228-0612
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1029233 | TX | Yes |
Addresses
Primary practice location
400 2ND St
Anson, TX 79501-2101
Mailing address
7918 Starlight Dr
Abilene, TX 79606-5846
Phone (325) 668-3480
Other providers in Anson, TX
- Raymond Richard Bixby MD
- Rosemeade Place Dental Center, PLLC
- Merry Sanchez
- Senior Living Properties
- Senior Living Properties LLC
- Kelly Elise Stovall
- Stratford Hospital District D/B/a Valley View Care Center
- Diana Elaine Thomas
- Transformative Therapy PLLC
- Valorie Cadoo Ma MFT PLLC
All providers in Anson, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.