Individual provider Active NPI

Stephanie R Johnson, FNP-C

  • Family Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1679025803
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132226 Issued in TX
Practice address
2000 S Mays St
Round Rock, TX 78664-7531
Phone
(512) 244-4272
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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 AP132226 TX Primary

Addresses

Primary practice location

2000 S Mays St
Round Rock, TX 78664-7531

Mailing address

2000 S Mays St
Round Rock, TX 78664-7531

Other identifiers 1

IdentifierTypeStateIssuer
392306201MedicaidTX

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
I20170112001226 TX Practitioner - Nurse Practitioner 5092097782 Reassigns benefits to 1 organization

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
Mark Malone MD PAGroup PAC ID 2567369424, 102 clinicians

Practice addresses (Care Compare)

1106 College St
Suite C
Bastrop, TX 78602-3948
Phone (512) 244-4272

3316 Williams Dr
Suite 150
Georgetown, TX 78628-2891
Phone (512) 244-4272

401 W Jasper Dr
Killeen, TX 76542-1323
Phone (254) 741-6641

6000 S Mopac
Suite 100
Austin, TX 78749
Phone (512) 244-4272

Hospital & facility affiliations

  • Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152
  • Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080
  • Adventhealth Rollins Brook Hospital, Lampasas, TX, CCN 451323

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as individual
Quality
73.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP132226TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Malone MD PA CurrentSince Nov 17, 2016 Accepting new patients
Mark Malone, MD PA CurrentSince Nov 17, 2016 Accepting new patients

Locations

6000 S Mopac Expy
Ste 100
Austin, TX 78749

1106 College St
Ste C
Bastrop, TX 78602
Phone (512) 244-2895

3316 Williams Dr
Ste 150
Georgetown, TX 78628
Phone (817) 644-3400

2301 Clear Creek Rd
Ste 226
Killeen, TX 76549
Phone (254) 526-8300

2000 S Mays St
Ste 201
Round Rock, TX 78664
Phone (512) 492-3743

2000 S Mays St
Round Rock, TX 78664

Interoperability endpoints

  • Direct secure messaging: stephanie.johnson.1@24201.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1679025803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647531",
            "telephone_number": "512-244-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392306201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.