STEPHANIE SUE WHITE (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1093476798

STEPHANIE SUE WHITE (APRN, PMHNP-BC) is a healthcare provider. based in Longview, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP-BC. They hold a License No. 1057169 (TX). The NPI Number for STEPHANIE SUE WHITE (APRN, PMHNP-BC) is 1093476798

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE SUE WHITE (APRN, PMHNP-BC)
NPI
1093476798
Phone
(903) 234-4226
Address
107 WOODBINE PL
Enumeration Date
4 January 2022
Last Update Date
2 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9037920308
Graduation Year
2021 (5 years ago)
PAC ID
6800288903
Group Practice PAC ID
0143202580
Professional Enrollment ID
I20220124000871
Address ID
TX755034617TE1911XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for STEPHANIE SUE WHITE (APRN, PMHNP-BC)

  • 107 WOODBINE PL

    LONGVIEW, TX 756012912

    Phone: (903) 234-4226

    Fax: (903) 234-1639

    Type: Mailing

  • 1500 W GRAND AVE

    MARSHALL, TX 756703005

    Phone: (903) 938-7721

    Fax: (903) 234-1639

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $741.

Total Amount is formed as General ($741) + Research ($0) + Ownership ($0) = $741.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($147).

Total Amount

$741

General + Research + Ownership

Payments

39

Total payment records

General Amount

$741

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220124000871INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3211$0
View full utilization report →

Insurance plans in this area (ZIP 75601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143202580View full group profile
NameSpecialtyState
Nurse PractitionerTX
P S Y C H I A T R YTX
Psychiatry, NeuropsychiatryTX
Nurse PractitionerTX
Mental Health CounselorAR
Nurse PractitionerAR
Clinical Social WorkerTX
-TX
Mental Health CounselorTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for STEPHANIE SUE WHITE (APRN, PMHNP-BC)?
STEPHANIE SUE WHITE (APRN, PMHNP-BC) — NPI 1093476798 — is the standard way to identify this listing.
Is STEPHANIE SUE WHITE (APRN, PMHNP-BC) listed as active for patients and plans?
The listing shows STEPHANIE SUE WHITE (APRN, PMHNP-BC) as active in the NPI system.
What is STEPHANIE SUE WHITE (APRN, PMHNP-BC)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for STEPHANIE SUE WHITE (APRN, PMHNP-BC) here. Clinical services aligned with this taxonomy classification.
Where should I expect STEPHANIE SUE WHITE (APRN, PMHNP-BC) on a map?
Expect Longview, Texas as a primary anchor for STEPHANIE SUE WHITE (APRN, PMHNP-BC) unless the record lists multiple sites.
Why does STEPHANIE SUE WHITE (APRN, PMHNP-BC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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