Individual provider Active NPI

Stacey Wheatley, FNP

  • Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1629519368
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP133320 Issued in TX
Practice address
1521 Baker Rd
Sherman, TX 75090-2409
Phone
(903) 891-1972
Fax
(903) 892-6093
NPI assigned
Mar 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP133320 TX Primary

Addresses

Primary practice location

1521 Baker Rd
Sherman, TX 75090-2409

Mailing address

1521 Baker Rd
Sherman, TX 75090-2409
Phone (903) 891-1972

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
I20170807003425 TX Practitioner - Nurse Practitioner 1153692280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Your Health ClinicGroup PAC ID 4082861851, 4 clinicians

Practice addresses (Care Compare)

1521 Baker Rd
Sherman, TX 75090-2409
Phone (903) 891-1972

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Your Health Clinic CurrentSince Mar 19, 2018 Accepting new patients
Kenneth E. Anderson Jr. M.D. P.a. CurrentSince Mar 19, 2017 Accepting new patients
Gene W Voskuhl, MD, PA PastSince Mar 19, 2018 Accepting new patients
Advanced Laboratory Services LLC PastSince Mar 19, 2017 Accepting new patients

Locations

500 E Peyton St
Sherman, TX 75090
Phone (903) 487-0598

1521 Baker Rd
Sherman, TX 75090
Phone (903) 891-1972

Organizations & group practices 4

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": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1629519368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 BAKER RD",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902409",
            "telephone_number": "903-891-1972",
            "fax_number": "903-892-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 BAKER RD",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902409",
            "telephone_number": "903-891-1972",
            "fax_number": "903-892-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY",
        "first_name": "STACEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP133320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.