Jack Brenden Stookey, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

957250 Issued in TX

Practice address

7 Medical Dr
Amarillo, TX 79106-4137

Phone

(806) 355-9355

Fax

(806) 340-7975

NPI assigned

Jan 2, 2019

Sex

Male

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 OK

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.89 of 100Reported as group

Quality

73.2

Promoting interoperability

100

Improvement activities

40

Cost

79.78

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Regeneration Nation LLC

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1164060158

  OK

  Medicare reassignment NPD
• Regeneration Nation Tulsa LLC

  • Allergy & Immunology Physician
  • Tulsa, OK
  • NPI 1205591708

  Family, OK

  Medicare reassignment NPD
• Well Life Family Medicine, P.a.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1245675081
  NPD

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1669944666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MEDICAL DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064137",
            "telephone_number": "806-355-9355",
            "fax_number": "806-340-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MEDICAL DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064137",
            "telephone_number": "806-355-9355",
            "fax_number": "806-340-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOOKEY",
        "first_name": "JACK",
        "middle_name": "BRENDEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "957250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Nicole Stoddard, NP-C
• Raymond Dean Stoddard, LPC
• Elaina Stoker
• Susan E Stokes, LBSW
• Andrea Leigh Stone, FNP-C
• Dick Paul Storseth, PHARMACIST
• Sabrena Stout
• Karla E Stovall, M.A. LPC
• Jacob Ray Stowe, OTR
• Chelsea Patricia Strand, LPC

• All providers in Amarillo, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.