Individual provider Active NPI

Stacy Renee Sims, FNP-C

  • Family Nurse Practitioner
  • Anson, TX
National Provider Identifier
1497330724
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1029233 Issued in TX
Practice address
400 2ND St
Anson, TX 79501-2101
Phone
(325) 823-8032
NPI assigned
Mar 17, 2021
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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 1029233 TX Primary

Addresses

Primary practice location

400 2ND St
Anson, TX 79501-2101

Mailing address

7918 Starlight Dr
Abilene, TX 79606-5846
Phone (325) 668-3480

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
I20240426002549 TX Practitioner - Nurse Practitioner 3779923503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haskell County HospitalGroup PAC ID 1355440413, 12 clinicians

Practice addresses (Care Compare)

1 Ave N
Haskell, TX 79521-5415
Phone 9402284321305

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Haskell County Hospital Current Accepting new patients
Haskell County Hospital CurrentSince Feb 20, 2024 Accepting new patients
Haskell County Hospital CurrentSince Feb 20, 2024 Accepting new patients

Locations

1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321

1400 S 1st St
Haskell, TX 79521
Phone (940) 228-0612

1417 N 1st St
Haskell, TX 79521
Phone (940) 228-0612

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1497330724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7918 STARLIGHT DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065846",
            "telephone_number": "325-668-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 2ND ST",
            "city": "ANSON",
            "state": "TX",
            "postal_code": "795012101",
            "telephone_number": "325-823-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "STACY",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2022-07-28",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1029233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anson, TX

Sources for this page

Verify at the official NPI Registry.