NPIMap

Individual provider Active NPI

Stephanie Elaine Gerhart, FNP

  • Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1861173635
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1129623 Issued in TX
Practice address
11011 Slide Rd
Lubbock, TX 79424-2274
Phone
(806) 743-3150
NPI assigned
Jul 26, 2023
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 1129623 TX
Nurse Practitioner 363L00000X 1129623 TX Primary

Addresses

Primary practice location

11011 Slide Rd
Lubbock, TX 79424-2274

Mailing address

11011 Slide Rd
Lubbock, TX 79424-2274
Phone (806) 743-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429001255 TX Practitioner - Nurse Practitioner 5092231464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11011 Slide Rd
Lubbock, TX 79424-2274
Phone (806) 743-2584

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1129623TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Apr 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Apr 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients
Paulger Dermatology and Skin Cancer Center, PA Dermatology PastSince Jul 1, 2023 Accepting new patients
Dermatology Associates of West Texas, LLP Dermatology PastSince Jul 1, 2023 Accepting new patients

Locations

11011 Slide Rd
Lubbock, TX 79424
Phone (806) 743-2584

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1861173635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242274",
            "telephone_number": "806-743-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242274",
            "telephone_number": "806-743-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERHART",
        "first_name": "STEPHANIE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2025-05-19",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "1129623",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1129623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.