NPIMap

Individual provider Active NPI

Anthony Stock, FNP-C

  • Family Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1871845115
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
771712 Issued in TX
Practice address
17189 Interstate 45 S Ste 175
Shenandoah, TX 77385-3323
Phone
(936) 270-4200
NPI assigned
Oct 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 771712 TX Primary

Addresses

Primary practice location

17189 Interstate 45 S Ste 175
Shenandoah, TX 77385-3323

Mailing address

17189 Interstate 45 S Ste 175
Shenandoah, TX 77385-3323
Phone (936) 270-4200

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
I20140912001536 TX Practitioner - Nurse Practitioner 9537388129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

Shenandoah, TX 77385
Phone (936) 270-3662

16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148

16811 Southwest Fwy
Suite 200
Sugar Land, TX 77479-4728
Phone (281) 690-4678

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Houston, TX, CCN 673134
  • Home Care Select Home health agency, Conroe, TX, CCN 747095
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
771712TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince May 22, 2023 Accepting new patients
TMH Physician Associates PLLC CurrentSince May 22, 2023 Accepting new patients

Locations

17189 Interstate 45 S
Ste 175
Shenandoah, TX 77385
Phone (936) 270-4200

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: astock441963@directhoustonmethodist.org
  • Direct secure messaging: astock71069@direct.stlukeshealth.org

Organizations & group practices 3

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 11

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": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1871845115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17189 INTERSTATE 45 S STE 175",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853323",
            "telephone_number": "936-270-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17189 INTERSTATE 45 S STE 175",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853323",
            "telephone_number": "936-270-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "ANTHONY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-10",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "771712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.