NPIMap

Individual provider Active NPI

Stacey Lynn Challe, AGNP-C

  • Gerontology Nurse Practitioner
  • Austin, TX
National Provider Identifier
1912775875
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11118 Issued in MN
Practice address
8911 N Capital of Texas Hwy Ste 110
Austin, TX 78759-7247
Phone
(877) 279-5960
NPI assigned
Dec 19, 2023
Last updated
Apr 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 11118 MN Primary

Addresses

Primary practice location

8911 N Capital of Texas Hwy Ste 110
Austin, TX 78759-7247

Mailing address

8911 N Capital of Texas Hwy Ste 110
Austin, TX 78759-7247
Phone (877) 279-5960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240228003360 MN Practitioner - Nurse Practitioner 6901241009 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Minnesota PLLCGroup PAC ID 6305233461, 62 clinicians

Practice addresses (Care Compare)

5123 W 98TH St
Suite 2082
Minneapolis, MN 55437-2040
Phone (737) 226-6700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Oncology Hematology PA CurrentSince Jan 16, 2024 Accepting new patients
Curana Health of Minnesota PLLC CurrentSince Apr 22, 2025 Accepting new patients
CH Specialty Services MN PC CurrentSince Apr 8, 2025 Accepting new patients
Minnesota Oncology Hematology PA CurrentSince Jan 16, 2024 Accepting new patients
Minnesota Oncology Hematology, PA Gerontology Current Accepting new patients

Locations

1175 Paysphere Cir
Chicago, IL 60674

5123 W 98th St
Minneapolis, MN 55437
Phone (312) 961-4490

2550 University Ave W
Ste 110N
Saint Paul, MN 55114
Phone (651) 602-5309

310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500

560 S Maple St
Ste 100
Waconia, MN 55387
Phone (952) 442-6006

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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 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": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1912775875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 N CAPITAL OF TEXAS HWY STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597247",
            "telephone_number": "877-279-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 N CAPITAL OF TEXAS HWY STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597247",
            "telephone_number": "877-279-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALLE",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "11118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.