Individual provider Active NPI

Stacy Leigh Ginn, FNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1689825093
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
643147 Issued in TX
Practice address
408 W 45TH St
Austin, TX 78751-3014
Phone
(512) 451-5800
Fax
(512) 459-1399
NPI assigned
Oct 3, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 643147 TX Primary

Addresses

Primary practice location

408 W 45TH St
Austin, TX 78751-3014

Mailing address

1420 Viceroy Dr
Dallas, TX 75235-2208
Phone (214) 358-2300

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
I20090202000103 TX Practitioner - Nurse Practitioner 6305900697 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health Medical Group LLCGroup PAC ID 9133304603, 132 clinicians
CH Specialty Services TX PLLCGroup PAC ID 6507173291, 103 clinicians

Practice addresses (Care Compare)

2122 Park Bend Dr
Austin, TX 78758-5352
Phone (512) 730-3053

2802 Flintrock Trce
Suite 201
Austin, TX 78738-1744
Phone (337) 991-9276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
643147TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Kidney Associates PA CurrentSince Mar 29, 2018 Accepting new patients
Curana Health Medical Group LLC CurrentSince May 15, 2018 Accepting new patients
CH Specialty Services TX PLLC Family CurrentSince Jun 21, 2023 Accepting new patients
Austin Kidney Associates, P. a. CurrentSince Mar 29, 2018 Accepting new patients

Locations

2122 Park Bend Dr
Austin, TX 78758
Phone (512) 730-3053

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

408 W 45th St
Austin, TX 78751
Phone (512) 451-5800

8620 Burnet Rd
Ste 40
Austin, TX 78757
Phone (512) 334-1810

1720 E Whitestone Blvd
Ste A
Cedar Park, TX 78613
Phone (512) 451-5800

1007 S Washington Ave
Marshall, TX 75670
Phone 3379919276261

521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978

16010 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 275-0100

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/
  • Direct secure messaging: stacy.ginn@direct.myteamcare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689825093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 VICEROY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352208",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513014",
            "telephone_number": "512-451-5800",
            "fax_number": "512-459-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINN",
        "first_name": "STACY",
        "middle_name": "LEIGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "643147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.