Active NPI
Stefanie Meyer Reisch, PA-C
- Urology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- PA12527
- Practice address
- 6801 Oakmont Blvd Ste 102
Fort Worth, TX 76132-3903 - Phone
- (866) 376-8768
- NPI assigned
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Urology Physician | 208800000X | PA12527 | TX | Primary |
Addresses
Primary practice location
6801 Oakmont Blvd Ste 102
Fort Worth, TX 76132-3903
Mailing address
5001 S Cooper St Ste 201
Arlington, TX 76017-5993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114114279 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 Fountainview Dr
Suite 120
Mansfield, TX 76063-5091
Phone (866) 367-8768
3301 Matlock Rd
Arlington, TX 76015-2908
Phone (682) 509-6200
5001 S Cooper St
Suite 201
Arlington, TX 76017-5993
5005 S Cooper St
Suite 250
Arlington, TX 76017-5996
Phone (866) 367-8768
6800 N Macarthur Blvd
Medical City at Las Colinas
Irving, TX 75039-2422
Phone (972) 969-2260
6801 Oakmont Blvd
Suite 102
Fort Worth, TX 76132-3903
Phone (866) 367-8768
7701 Las Colinas RDG
Suite 460
Irving, TX 75063-8081
Phone (866) 367-8768
801 W Interstate 20
Arlington, TX 76017-5851
945 Hilltop Dr
Suite 100
Weatherford, TX 76086-5892
Phone (866) 367-8768
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Partners of North Texas, PLLC | Urology | Past | Accepting new patients |
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.
-
- Urology Physician
- Arlington, TX
- NPI 1528537180
-
- Urology Physician
- San Antonio, TX
- NPI 1619827912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1740750397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 S COOPER ST STE 201",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760175993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 OAKMONT BLVD STE 102",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323903",
"telephone_number": "866-376-8768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISCH",
"first_name": "STEFANIE",
"middle_name": "MEYER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "PA12527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114114279",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.