Stacie A Gregg, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1018197 Issued in TX

Practice address

1229 Johnny LN
San Angelo, TX 76905-2331

Phone

(325) 812-8195

NPI assigned

Nov 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Platte Nebraska Hospital CorporationGroup PAC ID 6507856697, 237 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great Plains Health Hospital, North Platte, NE, CCN 280065
• Community Hospital Hospital, McCook, NE, CCN 281363
• Chase County Community Hospital Hospital, Imperial, NE, CCN 281351

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgregg354180@direct.nebraskamed.com

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.

• North Platte Nebraska Hospital Corporation

  dba Great Plains Health

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533
  Medicare reassignment Care Compare group NPD
• North Platte Nebraska Hospital Corporation

  dba Great Plains Health

  • Medical Oncology Physician
  • North Platte, NE
  • NPI 1134355332
  NPD

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

• Chase County Community Hospital

  • Critical Access Hospital
  • Imperial, NE
  • NPI 1609934843
  Care Compare affiliation
• Community Hospital Association

  dba Community Hospital

  • Critical Access Hospital
  • McCook, NE
  • NPI 1841204500
  Care Compare affiliation
• North Platte Nebraska Hospital Corporation

  dba Great Plains Health

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533
  Care Compare affiliation
• North Platte Nebraska Hospital Corporation

  dba Great Plains Health

  • Clinical Medical Laboratory
  • North Platte, NE
  • NPI 1902660509

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604707200000",
    "number": "1851992515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 JOHNNY LN",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769052331",
            "telephone_number": "325-812-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 JOHNNY LN",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769052331",
            "telephone_number": "325-812-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "STACIE",
        "middle_name": "A",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-07",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1018197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tisha Green
• Paula Ann Greene, DPT, OCS, CMPT
• Lori E Greenhaw
• Royanne Mattick Greenwood, LD
• Charles E. Greeson, M.D.
• Jacquelin Wren Greuling, PHD
• Donna Lael Griffin, LVN
• Brianna Lynn Griffith
• McKenzi Griffith
• Edward L Grimes, O.D.

• Family Nurse Practitioner in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; 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.

Verify at the official NPI Registry.