NPIMap

Individual provider Active NPI

Kristi Ann Stafford, MD

  • Family Medicine Physician
  • Fredericksburg, TX
National Provider Identifier
1962497610
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2975 Issued in TX
Practice address
514 W Windcrest St
Fredericksburg, TX 78624-4633
Phone
(830) 997-0330
Fax
(830) 997-7601
NPI assigned
Sep 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K2975 TX Primary

Addresses

Primary practice location

514 W Windcrest St
Fredericksburg, TX 78624-4633

Mailing address

514 W Windcrest St
Fredericksburg, TX 78624-4633
Phone (830) 997-0330

Other identifiers 3

IdentifierTypeStateIssuer
112004004MedicaidTX
8AQ213OtherTXBCBSTX
P00454187OtherTXMEDICARE RAILROAD

Other names 1

  • Kristi A Stafford Other name

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
I20070918000281 TX Practitioner - Family Practice 0143322446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fredericksburg Family Clinic PAGroup PAC ID 1254433550, 8 clinicians

Practice addresses (Care Compare)

514 W Windcrest St
Fredericksburg, TX 78624-4633
Phone (830) 997-0330

Hospital & facility affiliations

  • Encompass Health Home Health Home health agency, Fredericksburg, TX, CCN 677951
  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007
  • Knopp Nursing & Rehab Center Inc Nursing home, Fredericksburg, TX, CCN 675740

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fredericksburg Family Clinic PA Family Medicine CurrentSince Jan 1, 2007 Accepting new patients
Fredericksburg Family Clinic PA Family Medicine CurrentSince Aug 28, 2022 Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients
Karen G Cornett MD PA Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristi.stafford@cornerstone.eclinicaldirectplus.com

Organizations & group practices 4

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 4

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1962497610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W WINDCREST ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244633",
            "telephone_number": "830-997-0330",
            "fax_number": "830-997-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W WINDCREST ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244633",
            "telephone_number": "830-997-0330",
            "fax_number": "830-997-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "KRISTI",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112004004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8AQ213",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00454187",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "STAFFORD",
            "middle_name": "A",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.