Stephanie Hollen Callesto, FNP/FA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

670056 Issued in TX

Practice address

5881 Biscamp Rd
Silsbee, TX 77656-6942

Phone

(409) 381-9078

NPI assigned

Jan 23, 2008

Last updated

Jan 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stephanie Lynette Gutierrez Former name

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ess of Nacogdoches LLCGroup PAC ID 3375821630, 27 clinicians

Jasper Emergency Physicians PLLCGroup PAC ID 9133573983, 58 clinicians

Jefferson Emergency Physicians PLLCGroup PAC ID 4880048560, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Merit-based Incentive Payment System (MIPS)

Final score

78.92 of 100Reported as group

Quality

71.67

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

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.

• Ess of Nacogdoches LLC

  • Emergency Medicine Physician
  • Nacogdoches, TX
  • NPI 1780139956
  Medicare reassignment Care Compare group NPD
• Jasper Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Jasper, TX
  • NPI 1922781970
  Medicare reassignment Care Compare group NPD
• Jefferson Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1609559699
  Medicare reassignment Care Compare group NPD
• East Texas Surgical Associates, PA

  • Surgery Physician
  • Beaumont, TX
  • NPI 1497892152
  Medicare reassignment NPD
• Ess of South Texas LLC

  • Emergency Medicine Physician
  • Liberty, TX
  • NPI 1295128247
  Medicare reassignment NPD
• Sound Physicians Emergency Medicine of Texas PLLC

  • Emergency Medicine Physician
  • Killeen, TX
  • NPI 1518475557
  Medicare reassignment NPD
• Nirp Beaumont, PLLC

  dba PAD Specialists - Beaumont

  • Interventional Cardiology Physician
  • Beaumont, TX
  • NPI 1609392430
  NPD
• Southeast Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Port Arthur, TX
  • NPI 1831781491
  NPD
• Methodist Physician Practices, PLLC

  • Surgery Physician
  • San Antonio, TX
  • NPI 1922252717
  NPD (past)

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

• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - Jasper Memorial

  • Rural Acute Care Hospital
  • Jasper, TX
  • NPI 1598749707
  Care Compare affiliation
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - St. Elizabeth

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1891972659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 BISCAMP RD",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776566942",
            "telephone_number": "409-381-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 BISCAMP RD",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776566942",
            "telephone_number": "409-381-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEN CALLESTO",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "FNP/FA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "670056",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "670056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GUTIERREZ",
            "middle_name": "LYNETTE",
            "credential": "RNFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Damian Lamark Haynes, RPH
• Heritage Metabolic Health PLLC
• Glenda K Hicks, OCCUPATIONAL THERAPI
• Kimberly Grisham Hinkie, LPC
• Barri L Hoffman, APRN
• Jennifer Huff, FNP-C
• J. M. Patil, M. D., P. a.
• Ala Jadallah, MA SLP
• Jameson Jean Gilles, PTA
• Henry Stephen Jefferson, RPH.

• Family Nurse Practitioner in Silsbee, TX
• Providers in Silsbee, 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 Jan 16, 2015; 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.