Maria Stanovic Karlson, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Tyler, TX
NPI 1750547741 · NPPES record last updated Aug 7, 2017
Key facts
- NPI
- 1750547741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP128125 (TX)
- Practice address
- 5414 S Broadway Ave
Tyler, TX 75703-1335 - Phone
- (903) 581-1601
- NPI assigned
- Jul 30, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Texas Emergency Physicians PLLC
Practice addresses (Care Compare)
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 593-8441
Hospital & facility affiliations
- Christus Mother Frances Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150826000477 | TX | Practitioner - Nurse Practitioner | 3375699275 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335596 | NY | MD | Neurological Surgery Physician |
| F335596-1 | NY | MD | Family Nurse Practitioner |
| AP128125 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Current |
Accepting new patients | |
| Northeast Texas Emergency Physicians, PLLC | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Mother Frances Hospital Jacksonville | Current |
Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Current |
Accepting new patients | |
| Texas Spine and Joint Hospital, LLC | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Current |
Accepting new patients |
Locations
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000
211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044
1814 Roseland Blvd
Ste 100
Tyler, TX 75701
Phone (214) 696-8033
1814 Roseland Blvd
Tyler, TX 75701
Phone (903) 525-3300
8389 S Broadway Ave
Tyler, TX 75703
Phone (903) 606-4129
5414 S Broadway Ave
Tyler, TX 75703
Phone (903) 581-1601
8101 S Broadway Ave
Tyler, TX 75703
Phone (903) 525-3300
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F335596-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | AP128125 | TX | Yes |
Addresses
Primary practice location
5414 S Broadway Ave
Tyler, TX 75703-1335
Mailing address
PO Box 841656
Dallas, TX 75284-1656
Phone (903) 531-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03051407 | Medicaid | NY | |
| 353154302 | Medicaid | TX | |
| 353154303 | Medicaid | TX | |
| A400062231 | Other | NY | MEDICARE PTAN |
| P01570036 | Other | TX | RAIL ROAD MEDICARE |
| P01569231 | Other | TX | RAIL ROAD MEDICARE |
| 353154304 | Medicaid | TX | |
| 353154301 | Medicaid | TX |
Other names
- Maria Stanovic
Other providers in Tyler, TX
- Wayne S Karaki
- Edwin Isaboke Karanja
- George William Kariampuzha
- Sylvia A Kariampuzha
- Sunita Karki
- Ammar Karo
- Madhuri Kasireddy
- Olivia Marie Kastor
- Renee Marie Kathan
- Kathryn B. Akin, MD, PA
All providers in Tyler, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.