Stacie L Edwards, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1165337 Issued in TX

Practice address

504 E. Hospital Street
San Augustine, TX 75972

Phone

(936) 275-9716

NPI assigned

Jun 3, 2024

Last updated

Oct 31, 2024By the provider in NPPES

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baylor St. Luke's Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
• Direct secure messaging: sedwards456464@direct.stlukeshealth.org
• Direct secure messaging: stacie.edwards.1@13578.direct.athenahealth.com

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.

• Baylor St. Luke's Medical Group

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1740485879

  Family

  Medicare reassignment Care Compare group NPD
• Urgent Health Solutions Lufkin

  dba Primary Doc

  • Family Medicine Physician
  • Lufkin, TX
  • NPI 1518589167
  Medicare reassignment NPD
• Memorial Multispecialty Associates

  dba Baylor St. Luke's Medical Group - Urgent Care

  • Urgent Care Clinic/Center
  • The Woodlands, TX
  • NPI 1295789337

  Family

  NPD (past)

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1710728837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 S 1ST ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E. HOSPITAL STREET",
            "city": "SAN AUGUSTINE",
            "state": "TX",
            "postal_code": "75972",
            "telephone_number": "936-275-9716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2132 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759015902",
            "country_code": "US",
            "telephone_number": "936-205-2776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "STACIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1165337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maegan Lynn Coats, COTA
• Barbara Lynn Cole, OTA
• Jeannine Cullum, DDS
• D & H Enterprises (El Camino House Assisted Living)
• Economy Professional Pharmacy Inc
• Valarie Edwards
• Enrique a Leal MD
• Kaneitra Nicole Garrett, LVN
• Frankie C Goodwin, PH.D
• Wingett Harley Goodwin, DDS

• Family Nurse Practitioner in San Augustine, TX
• Providers in San Augustine, 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 Oct 31, 2024; 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.