Individual provider Active NPI

Levi Ross Stone, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Willis, TX
National Provider Identifier
1700565785
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1128220 Issued in TX
Practice address
9851 FM 1097 Rd W Ste 120
Willis, TX 77318-5852
Phone
(936) 890-8000
Fax
(936) 890-9000
NPI assigned
Jul 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 1128220 TX Primary

Addresses

Primary practice location

9851 FM 1097 Rd W Ste 120
Willis, TX 77318-5852

Mailing address

9851 FM 1097 Rd W Ste 120
Willis, TX 77318-5852

Other practice location 1

4015 Interstate 45 N Ste 220
Conroe, TX 77304-5076
Phone (936) 441-1122

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
I20240322003912 TX Order and Referring Only - Nurse Practitioner 4385711860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Conroe Willis Family Medicine PLLC Current Accepting new patients
Conroe Willis Family Medicine, PLLC Current Accepting new patients

Locations

4015 Interstate 45 N
Ste 220
Conroe, TX 77304
Phone (936) 441-1122

9851 FM 1097 Rd W
Ste 120
Willis, TX 77318
Phone (936) 271-3400

Interoperability endpoints

  • Direct secure messaging: levi.stone.2@30698.direct.athenahealth.com
  • Direct secure messaging: stone.levi.1@18606.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/30698/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1700565785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 FM 1097 RD W STE 120",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773185852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9851 FM 1097 RD W STE 120",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773185852",
            "telephone_number": "936-890-8000",
            "fax_number": "936-890-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4015 Interstate 45 N Ste 220",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773045076",
            "country_code": "US",
            "telephone_number": "936-441-1122",
            "fax_number": "936-788-9151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "LEVI",
        "middle_name": "ROSS",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1128220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willis, TX

Sources for this page

Verify at the official NPI Registry.