Individual provider Active NPI

Tiffany Renee Stage, NP -C

  • Adult Health Nurse Practitioner
  • Marble Falls, TX
National Provider Identifier
1578237442
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1045567 Issued in TX
Practice address
706 Avenue G
Marble Falls, TX 78654-5866
Phone
(830) 201-8900
Fax
(830) 201-8990
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1045567 TX Primary

Addresses

Primary practice location

706 Avenue G
Marble Falls, TX 78654-5866

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 254-7211

Other names 1

  • Tiffany Renee Ragon Former name

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
I20210817000020 TX Practitioner - Nurse Practitioner 1153726013 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2901 Montopolis Dr
Austin, TX 78741-6411
Phone (512) 978-9955

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1045567TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services TX PLLC CurrentSince Mar 23, 2023 Accepting new patients
Central Texas Community Health Centers CurrentSince Oct 2, 2025 Accepting new patients
Curana Health Medical Group LLC CurrentSince Sep 19, 2022 Accepting new patients
Central Texas Community Health Centers CurrentSince Oct 2, 2025 Accepting new patients
Total MD Physicians Group, PLLC CurrentSince Apr 15, 2022 Accepting new patients
Southwest Texas Two Medical Group, PLLC Past Accepting new patients

Locations

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

2802 Flintrock Trce
Ste 201
Austin, TX 78738
Phone (512) 407-2606

4301 W William Cannon Dr
#300
Austin, TX 78749
Phone (512) 222-8868

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

603 Louis Henna Blvd
Ste B140
Round Rock, TX 78664
Phone (512) 200-2269

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1578237442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-254-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 AVENUE G",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545866",
            "telephone_number": "830-201-8900",
            "fax_number": "830-201-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGE",
        "first_name": "TIFFANY",
        "middle_name": "RENEE",
        "credential": "NP -C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1045567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "RAGON",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marble Falls, TX

Sources for this page

Verify at the official NPI Registry.