STEPHEN BERRY – Nurse Practitioner, NPI 1255903639

STEPHEN BERRY is a healthcare provider. based in San marcos, Texas. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold a License No. 1047117 (TX). The NPI Number for STEPHEN BERRY is 1255903639

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN BERRY
NPI
1255903639
Phone
(432) 530-3738
Address
4501 HILLIARD RD
Enumeration Date
14 July 2021
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5128401158
Graduation Year
2021 (5 years ago)
PAC ID
6406250042
Group Practice PAC ID
8325289812
Professional Enrollment ID
I20210804002602
Address ID
TX787276618AU5301XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:4State licenses:1Digital endpointsOther names

191 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in TX

Provider Addresses for STEPHEN BERRY

  • 4501 HILLIARD RD

    SAN MARCOS, TX 786668601

    Phone: (432) 530-3738

    Type: Mailing

  • 4207 BURNET RD

    AUSTIN, TX 787563316

    Phone: (432) 530-3738

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: SCPHARMACEUTICALS INC. ($99).

Total Amount

$99

General + Research + Ownership

Payments

1

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SCPHARMACEUTICALS INC.$99
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: 2021-08-04

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
I20210804002602ICertified Clinical Nurse Specialist (Cns)TXTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2726$0
View full utilization report →

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: 8325289812View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Certified Clinical Nurse Specialist (Cns)TX
-TX
Nurse PractitionerTX
Internal MedicineTX
Internal Medicine, HospitalistTX
Physician AssistantTX

Reviews

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Frequently asked questions

Is STEPHEN BERRY listed with a National Provider Identifier?
Yes — STEPHEN BERRY has NPI 1255903639 on file in the registry.
Is STEPHEN BERRY shown as active in public data?
Registry records indicate STEPHEN BERRY maintains an active NPI.
What area of care is associated with STEPHEN BERRY?
STEPHEN BERRY's record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with STEPHEN BERRY?
Directory geography for STEPHEN BERRY centers on San Marcos, Texas.
When was this NPI issued?
Enumeration for STEPHEN BERRY is noted as July 14, 2021 where the registry provides it.

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