STEPHANIE NICHOLE CHESTNUT (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1164101242

STEPHANIE NICHOLE CHESTNUT (AGACNP-BC) is a healthcare provider. based in Amarillo, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 1128712 (TX). The NPI Number for STEPHANIE NICHOLE CHESTNUT (AGACNP-BC) is 1164101242

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE NICHOLE CHESTNUT (AGACNP-BC)
NPI
1164101242
Phone
(806) 212-6604
Address
6 MEDICAL DR
Enumeration Date
14 July 2023
Last Update Date
4 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8063594673
Graduation Year
2023 (3 years ago)
PAC ID
8224492962
Group Practice PAC ID
3971748146
Professional Enrollment ID
I20230913001724
Address ID
TX791061711AM1751XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for STEPHANIE NICHOLE CHESTNUT (AGACNP-BC)

  • 6 MEDICAL DR

    AMARILLO, TX 791064136

    Phone: (806) 212-6604

    Type: Mailing

  • 6 Medical Dr

    Amarillo, TX 791064136

    Phone: (806) 212-6604

    Type: Location

  • 1600 WALLACE BLVD

    AMARILLO, TX 791061799

    Phone: (806) 212-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($98).

Total Amount

$151

General + Research + Ownership

Payments

3

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-09-13

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
I20230913001724INurse 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 79106)

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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: 3971748146View full group profile
NameSpecialtyState
-TX
Surgical Oncology, General SurgeryTX
Undersea And Hyperbaric Medicine, General PracticeTX
Nurse PractitionerTX
General SurgeryTX
-TX
H O S P I T A L I S TOR
Hospitalist, Family PracticeTX
Internal Medicine, Undersea And Hyperbaric MedicineTX
Physician AssistantTX

Reviews

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Frequently asked questions

What number should I use to identify STEPHANIE NICHOLE CHESTNUT (AGACNP-BC) for billing?
Administrative and clinical systems typically use NPI 1164101242 for STEPHANIE NICHOLE CHESTNUT (AGACNP-BC).
Is STEPHANIE NICHOLE CHESTNUT (AGACNP-BC)'s NPI status active today?
Active status means STEPHANIE NICHOLE CHESTNUT (AGACNP-BC)'s NPI record is not deactivated in the public file.
What type of care does STEPHANIE NICHOLE CHESTNUT (AGACNP-BC) provide?
STEPHANIE NICHOLE CHESTNUT (AGACNP-BC)'s profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to STEPHANIE NICHOLE CHESTNUT (AGACNP-BC)?
STEPHANIE NICHOLE CHESTNUT (AGACNP-BC) shows a connection to Amarillo, Texas in registry-derived data.
Who maintains STEPHANIE NICHOLE CHESTNUT (AGACNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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