Stacey Mitchum, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP131144 Issued in TX

Practice address

5401 FM 1626
Kyle, TX 78640-6038

Phone

(512) 268-1940

NPI assigned

Jun 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guadalupe Regional Medical GroupGroup PAC ID 6800077694, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104

Merit-based Incentive Payment System (MIPS)

Final score

80.89 of 100Reported as group

Quality

68.71

Promoting interoperability

98

Improvement activities

40

Cost

69.25

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacey.mitchum.1@27064.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/27064/brand/1/csg/1/fhir/r4

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.

• Guadalupe Regional Medical Group

  • Multi-Specialty Clinic/Center
  • Seguin, TX
  • NPI 1578873717
  Medicare reassignment Care Compare group NPD
• Guadalupe Regional Medical Group

  • Urgent Care Clinic/Center
  • New Braunfels, TX
  • NPI 1114559432
  NPD
• Guadalupe County Hospital Board

  • Hospitalist Physician
  • Seguin, TX
  • NPI 1841512845
  NPD (past)

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

• Guadalupe County Hospital Board

  • Nursing Care Agency
  • Seguin, TX
  • NPI 1487674727

  Hospital

  Care Compare affiliation
• Guadalupe County Hospital Board

  • General Acute Care Hospital
  • Seguin, TX
  • NPI 1720088123
  Care Compare affiliation
• Guadalupe County Hospital Board

  • General Acute Care Hospital
  • Seguin, TX
  • NPI 1780529966
  Care Compare affiliation

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1669822151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 REIMER AVE",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665003",
            "telephone_number": "512-784-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 FM 1626",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406038",
            "telephone_number": "512-268-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHUM",
        "first_name": "STACEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Mills
• Mimi Group Home
• Pam J Mingle, LCSW
• Azul Mireles, BCBA
• Lotika Reena Misra, M.D.
• Sage Allison Mize
• Syed Sameer Mohiuddin, D.O.
• Veronica Evette Molina
• Christen Momie
• Alyssa Montanez

• Family Nurse Practitioner in Kyle, TX
• Providers in Kyle, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.