Individual provider Active NPI

Curtis Ryan Stubblefield, PA-C

  • Physician Assistant
  • Fredericksburg, TX
National Provider Identifier
1790089910
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
205 W Windcrest St Ste 210
Fredericksburg, TX 78624-4480
Phone
(830) 997-4000
Fax
(830) 997-2028
NPI assigned
Jan 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Medical Physician Assistant 363AM0700X PA10529 TX
Surgical Physician Assistant 363AS0400X PA10529 TX

Addresses

Primary practice location

205 W Windcrest St Ste 210
Fredericksburg, TX 78624-4480

Mailing address

205 W Windcrest St
Ste 210
Fredericksburg, TX 78624-4480
Phone (830) 992-2880

Other practice location 1

2450 Craven St
Branch Health Clinic Navla Base San Diego
San Diego, CA 92136-5599
Phone (619) 767-6546

Other practice location 2

500 Thompson Dr
Kerrville, TX 78028-5144
Phone (830) 997-4000 ext. 2057

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
I20161012001155 TX Practitioner - Physician Assistant 9133417892 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sylvester G Ramirez MD PLLCGroup PAC ID 1052634698, 2 clinicians
Ucp Physicians of Central Texas, PLLCGroup PAC ID 3173697935, 99 clinicians

Practice addresses (Care Compare)

1001 Water St
Suite H
Kerrville, TX 78028-3573
Phone (830) 315-2515

1240 E Palm Valley Blvd
Round Rock, TX 78664-3202
Phone (512) 733-9100

1701 N US Hwy 281
Marble Falls, TX 78654-4311
Phone (830) 798-1122

Hospital & facility affiliations

  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007
  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10529TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vein Associates Professional Association Current Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Jan 17, 2025 Accepting new patients
Innovacare Texas Urgent Care PLLC PastSince May 26, 2024 Accepting new patients
Cibolo Creek Allergy PA PastSince Mar 19, 2023 Accepting new patients

Locations

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

723 Hill Country Dr
Ste C
Kerrville, TX 78028
Phone (830) 792-5800

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

Interoperability endpoints

  • Direct secure messaging: curtis.stubblefieldpac.p6@direct.nextcare.nextgenshare.com

Organizations & group practices 9

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": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1790089910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W WINDCREST ST",
            "address_2": "STE 210",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244480",
            "telephone_number": "830-992-2880",
            "fax_number": "830-997-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W WINDCREST ST STE 210",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244480",
            "telephone_number": "830-997-4000",
            "fax_number": "830-997-2028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Craven St",
            "address_2": "Branch Health Clinic Navla Base San Diego",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921365599",
            "country_code": "US",
            "telephone_number": "619-767-6546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Thompson Dr",
            "address_purpose": "LOCATION",
            "city": "Kerrville",
            "state": "TX",
            "postal_code": "780285144",
            "country_code": "US",
            "telephone_number": "830-997-4000 x2057",
            "fax_number": "830-997-2028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUBBLEFIELD",
        "first_name": "CURTIS",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA10529",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA10529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.