Individual provider Active NPI

Stefanie Marie Hutchens, FNP-C, RNFA, CNOR

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1770729493
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141280 Issued in TX
Practice address
4925 Greenville Ave Ste 1307
Dallas, TX 75206-4026
Phone
(214) 242-1389
NPI assigned
Dec 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 725582 TX
Registered Nurse First Assistant 163WR0006X 725582 TX
Family Nurse Practitioner 363LF0000X AP141280 TX Primary

Addresses

Primary practice location

4925 Greenville Ave Ste 1307
Dallas, TX 75206-4026

Mailing address

4925 Greenville Ave Ste 1307
Dallas, TX 75206-4026
Phone (214) 242-1389

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211027001452 TX Practitioner - Nurse Practitioner 8921496779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feigenbaum Neurosurgery PAGroup PAC ID 5092977983, 2 clinicians

Practice addresses (Care Compare)

4925 Greenville Ave
Suite 1307
Dallas, TX 75206-4026
Phone (214) 242-1389

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
725582TXMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Feigenbaum Neurosurgery P.a. CurrentSince Jul 23, 2021 Accepting new patients

Locations

7777 Forest Ln
Ste C650
Dallas, TX 75230
Phone (972) 327-5524

11970 N Central Expy
Ste 460
Dallas, TX 75243
Phone (214) 351-8450

11970 N Central Expy
Dallas, TX 75243
Phone (972) 566-7111

4925 Greenville Ave
Ste 1307
Dallas, TX 75206
Phone (214) 242-1389

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1770729493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE STE 1307",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064026",
            "telephone_number": "214-242-1389",
            "fax_number": "214-366-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE STE 1307",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064026",
            "telephone_number": "214-242-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHENS",
        "first_name": "STEFANIE",
        "middle_name": "MARIE",
        "credential": "FNP-C, RNFA, CNOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "725582",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "725582",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.