STEPHANIE MCGLOTHLIN – Family Nurse Practitioner, NPI 1154114692

STEPHANIE MCGLOTHLIN is a healthcare provider. based in San marcos, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1205611 (TX). The NPI Number for STEPHANIE MCGLOTHLIN is 1154114692

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
STEPHANIE MCGLOTHLIN
NPI
1154114692
Phone
(512) 393-3325
Address
1290 WONDER WORLD DR STE 1100
Enumeration Date
27 May 2025
Last Update Date
11 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7135127500
Graduation Year
2025 (1 year ago)
PAC ID
3476061714
Group Practice PAC ID
4688999022
Professional Enrollment ID
I20250806001921
Address ID
TX770542935HO7900XSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for STEPHANIE MCGLOTHLIN

  • 1290 WONDER WORLD DR STE 1100

    SAN MARCOS, TX 786667969

    Phone: (512) 393-3325

    Fax: (512) 393-3328

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-08-06

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
I20250806001921INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78666)

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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: 4688999022View full group profile
NameSpecialtyState
-TX
Family PracticeTX
Family PracticeTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Nurse PractitionerTX
Family PracticeTX
Pulmonary DiseaseTX
Osteopathic Manipulative Medicine, Obstetrics/GynecologyTN
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for STEPHANIE MCGLOTHLIN?
STEPHANIE MCGLOTHLIN — NPI 1154114692 — is the standard way to identify this listing.
Does the file indicate STEPHANIE MCGLOTHLIN is practicing under active NPI?
Directory data currently reports STEPHANIE MCGLOTHLIN as active.
What is STEPHANIE MCGLOTHLIN's primary classification?
Family Nurse Practitioner is the headline specialty for STEPHANIE MCGLOTHLIN here. Clinical services aligned with this taxonomy classification.
What address line appears for STEPHANIE MCGLOTHLIN?
STEPHANIE MCGLOTHLIN's geographic hint is San Marcos, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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