Active NPI
Stefan Jensen, MD
- Emergency Medicine Physician
- Buda, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R9982
- Practice address
- 5330 Overpass Rd Ste 110
Buda, TX 78610-2300 - Phone
- (737) 999-6200
- Fax
- (737) 999-6201
- NPI assigned
- May 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R9982 | TX | Primary |
Addresses
Primary practice location
5330 Overpass Rd Ste 110
Buda, TX 78610-2300
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111
Other practice location 1
300 University Blvd
Round Rock, TX 78665-1032
Phone (512) 509-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Medical Ctr Dr
Brunswick, ME 04011-2652
Phone (207) 373-6000
Hospital & facility affiliations
- Houlton Regional Hospital
- Central Maine Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9982 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluewater Emergency Partners of Brunswick, LLC | Emergency Medicine | Current | Accepting new patients |
| Houlton Regional Hospital | Current | Accepting new patients | |
| Houlton Regional Hospital | Current | Accepting new patients | |
| Houlton Regional Hospital | Past | Accepting new patients | |
| Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care | Emergency Medicine | Past | Accepting new patients |
Locations
123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800
20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900
243 Elm St
Claremont, NH 03743
Phone (603) 542-7771
17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Brunswick, ME
- NPI 1043640204
-
- Critical Access Hospital
- Houlton, ME
- NPI 1508823741
-
- Medicare Defined Swing Bed Hospital Unit
- Houlton, ME
- NPI 1013355254
-
- Emergency Medicine Physician
- Brunswick, ME
- NPI 1881974665
-
- Critical Access Hospital
- Houlton, ME
- NPI 1386804268
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Critical Access Hospital
- Houlton, ME
- NPI 1508823741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1740635101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 OVERPASS RD STE 110",
"city": "BUDA",
"state": "TX",
"postal_code": "786102300",
"telephone_number": "737-999-6200",
"fax_number": "737-999-6201"
}
],
"practiceLocations": [
{
"address_1": "300 University Blvd",
"address_purpose": "LOCATION",
"city": "Round Rock",
"state": "TX",
"postal_code": "786651032",
"country_code": "US",
"telephone_number": "512-509-0100",
"fax_number": "512-218-6330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENSEN",
"first_name": "STEFAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-04",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "R9982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.