Individual provider Active NPI

Russell Wayne Steitle

  • Nurse Practitioner
  • Seguin, TX
National Provider Identifier
1942764832
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP140324 Issued in TX
Practice address
1215 E Court St
Seguin, TX 78155-5129
Phone
(830) 379-2411
NPI assigned
Jan 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP140324 TX Primary

Addresses

Primary practice location

1215 E Court St
Seguin, TX 78155-5129

Mailing address

552 Steitle Rd
Fredericksburg, TX 78624-7493
Phone (830) 708-7276

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
I20190227001909 TX Practitioner - Nurse Practitioner 3274872759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guadalupe County Hospital BoardGroup PAC ID 5496653842, 31 clinicians

Practice addresses (Care Compare)

1215 E Court St
Seguin, TX 78155-5129
Phone (830) 379-2411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
68.71
Promoting interoperability
98
Improvement activities
40
Cost
69.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140324TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe County Hospital Board CurrentSince Oct 1, 2022 Accepting new patients
Guadalupe County Hospital Board Current Accepting new patients
Guadalupe County Hospital Board Current Accepting new patients
Guadalupe County Hospital Board Current Accepting new patients
Travis County Emergency Physicians PA CurrentSince Feb 1, 2019 Accepting new patients
Guadalupe Regional Medical Group CurrentSince Mar 2, 2020 Accepting new patients
Guadalupe Regional Medical Group CurrentSince Mar 2, 2020 Accepting new patients
Guadalupe County Hospital Board CurrentSince Oct 1, 2022 Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

630 W State Highway 71
Bastrop, TX 78602
Phone (737) 881-7400

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

1761 State Highway 46 S
Ste 104
New Braunfels, TX 78130
Phone (830) 401-7558

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

Interoperability endpoints

  • Direct secure messaging: russell.steitle.1@27064.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27064/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 3

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": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1942764832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 STEITLE RD",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786247493",
            "telephone_number": "830-708-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E COURT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555129",
            "telephone_number": "830-379-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEITLE",
        "first_name": "RUSSELL",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.