Individual provider Active NPI

Stacy Lynn Lessman, M.D.

  • Family Medicine Physician
  • Waco, TX
National Provider Identifier
1821095316
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L1110 Issued in TX
Practice address
611 W Hwy 6
Suite 108
Waco, TX 76710-7544
Phone
(254) 776-5900
Fax
(254) 776-5921
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L1110 TX Primary

Addresses

Primary practice location

611 W Hwy 6
Suite 108
Waco, TX 76710-7544

Mailing address

920 Cheyenne TRL
Hewitt, TX 76643-3243
Phone (254) 420-2359

Other identifiers 1

IdentifierTypeStateIssuer
164579801MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525001505 TX Practitioner - Family Practice 5395734578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

1800 Gurley LN
Waco, TX 76706-4025
Phone (254) 313-6000

609 Elm Ave
Waco, TX 76704-2516
Phone (254) 313-6900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Community Health Center Inc Current Accepting new patients
Heart of Texas Community Health Center, Inc. Family Medicine CurrentSince May 3, 2018 Accepting new patients
Heart of Texas Community Health Center, Inc Family Medicine CurrentSince May 3, 2018 Accepting new patients
Stacy L Lessman PA Family Medicine Past Accepting new patients

Locations

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

609 Elm Ave
Waco, TX 76704
Phone (254) 313-6900

Organizations & group practices 4

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1821095316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CHEYENNE TRL",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433243",
            "telephone_number": "254-420-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W HWY 6",
            "address_2": "SUITE 108",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107544",
            "telephone_number": "254-776-5900",
            "fax_number": "254-776-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSMAN",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164579801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.