Stephanie Suzanne Macklin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

769409 Issued in TX

Practice address

1101 4TH Ave
Canyon, TX 79015-3701

Phone

(806) 655-7155

Fax

(806) 655-7145

NPI assigned

Mar 16, 2012

Last updated

Jan 12, 2015By 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

Other identifiers 1

Other names 1

• Stephanie Shelley Macklin Professional name

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey Ross Gunter MD IncGroup PAC ID 0042108326, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hereford Regional Medical Center Hospital, Hereford, TX, CCN 450155
• Covenant Hospital Plainview Hospital, Plainview, TX, CCN 450539

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

• Jeffrey Ross Gunter MD Inc

  • Dermatology Physician
  • Lancaster, CA
  • NPI 1053476465

  TX

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaf Smith County Hospital District

  dba Hereford Regional Medical Center

  • General Acute Care Hospital
  • Hereford, TX
  • NPI 1568454403
  Care Compare affiliation
• Methodist Hospital Plainview Texas

  dba Covenant Hospital Plainview

  • General Acute Care Hospital
  • Plainview, TX
  • NPI 1073580726
  Care Compare affiliation
• Methodist Hospital Plainview Texas

  dba Covenant Hospital Plainview

  • Ambulatory Surgical Clinic/Center
  • Plainview, TX
  • NPI 1174630198

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1730454240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 4TH AVE",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153701",
            "telephone_number": "806-655-7155",
            "fax_number": "806-655-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 4TH AVE",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153701",
            "telephone_number": "806-655-7155",
            "fax_number": "806-655-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKLIN",
        "first_name": "STEPHANIE",
        "middle_name": "SUZANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "769409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TEXAS",
            "identifier": "873N94",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MACKLIN",
            "middle_name": "SHELLEY",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Michelle Lale, RN
• Toni D Lambert, FNP
• Jennifer Leheska, PHD, RD, LD
• Chad E Lewis, MD
• Gloria Lewis, FNP
• Renee Marie
• Tori I Marnell, MD
• Candy C Marshall, CFNP
• Regina Mata-Elizalde, BCBA
• Lawrence R McAfee, MD

• Family Nurse Practitioner in Canyon, TX
• Providers in Canyon, 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 Jan 12, 2015; 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.