SERENA STANSBURY (AGACNP) – Acute Care Nurse Practitioner, NPI 1245716174

SERENA STANSBURY (AGACNP) is a healthcare provider. based in Fort worth, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. AP136468 (TX). The NPI Number for SERENA STANSBURY (AGACNP) is 1245716174

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SERENA STANSBURY (AGACNP)
NPI
1245716174
Phone
(214) 436-6098
Address
9205 Lamplighter Trl
Enumeration Date
13 July 2018
Last Update Date
13 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3618955000
Graduation Year
2017 (9 years ago)
PAC ID
5193073336
Group Practice PAC ID
3476688318
Professional Enrollment ID
I20180806000854
Address ID
TX784144100CO5950XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for SERENA STANSBURY (AGACNP)

  • 9205 Lamplighter Trl

    Fort Worth, TX 762447699

    Phone: (214) 436-6098

    Type: Location

  • CHRISTUS Spohn Hospital Corpus Christi - South, 5950, Saratoga Boulevard, South Side, Corpus Christi, Nueces County, Texas, 78414, United States

    CORPUS CHRISTI, TX 784144100

    Phone: (361) 985-5811

    Type: Location

  • 9205, Lamplighter Trail, Fort Worth, Tarrant County, Texas, 76244, United States

    FORT WORTH, TX 762447699

    Phone: (214) 436-6098

    Type: Mailing

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: 2018-08-06

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
I20180806000854INurse 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 minutes112109$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3636$0
View full utilization report →

Insurance plans in this area (ZIP 76244)

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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: 3476688318View full group profile

Reviews

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Frequently asked questions

What number should I use to identify SERENA STANSBURY (AGACNP) for billing?
Administrative and clinical systems typically use NPI 1245716174 for SERENA STANSBURY (AGACNP).
Does the public listing show SERENA STANSBURY (AGACNP) as active?
SERENA STANSBURY (AGACNP)'s NPI record reflects an active status in NPPES.
How should patients interpret SERENA STANSBURY (AGACNP)'s specialty?
The extract shows Acute Care Nurse Practitioner for SERENA STANSBURY (AGACNP). Clinical services aligned with this taxonomy classification.
What city is tied to SERENA STANSBURY (AGACNP)?
The directory associates SERENA STANSBURY (AGACNP) with Fort Worth, Texas. Check all listed addresses for suites or satellite offices.
Can I export SERENA STANSBURY (AGACNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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