Individual provider Active NPI

Stacy Ann Elizabeth Bruce

  • Psychiatric/Mental Health Nurse Practitioner
  • Spring, TX
National Provider Identifier
1881406635
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1178155 Issued in TX
Practice address
25319 Interstate 45 Ste 100
Spring, TX 77380-3551
Phone
(832) 810-0200
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP70127287 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1178155 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406576 NY

Addresses

Primary practice location

25319 Interstate 45 Ste 100
Spring, TX 77380-3551

Mailing address

25319 Interstate 45 Ste 100
Spring, TX 77380-3551
Phone (832) 810-0200

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
I20250324002474 TX Practitioner - Nurse Practitioner 1254853823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6315 Gulfton St
Suite 100
Houston, TX 77081-1107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
406576NYMDPsychiatric/Mental Health Nurse Practitioner
1178155TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mava Healthcare System LLC CurrentSince Jul 1, 2026 Accepting new patients
Kinghaven Counseling Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Neuron Psychiatry PLLC Psychiatric/Mental Health CurrentSince Feb 16, 2026 Accepting new patients

Locations

18723 Mueschke Rd
Ste B
Cypress, TX 77433
Phone (346) 575-1108

6100 Hillcroft Ave
Ste 642
Houston, TX 77081

6315 Gulfton St
Ste 100
Houston, TX 77081
Phone (713) 457-4357

3025 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (214) 257-0682

25319 Interstate 45
Ste 100
Spring, TX 77380
Phone (832) 810-0200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1881406635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25319 INTERSTATE 45 STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803551",
            "telephone_number": "832-810-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25319 INTERSTATE 45 STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803551",
            "telephone_number": "832-810-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "STACY ANN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70127287",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1178155",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.