COLLEEN KATHLEEN STEPHENS (MSN, APRN, AGNP,GNP) – Gerontology Nurse Practitioner, NPI 1306975909

COLLEEN KATHLEEN STEPHENS (MSN, APRN, AGNP,GNP) is a healthcare provider. based in Georgetown, Texas. specializing in Gerontology Nurse Practitioner. They hold the professional credentials MSN, APRN, AGNP,GNP. They hold a License No. 257249 (TX). The NPI Number for COLLEEN KATHLEEN STEPHENS (MSN, APRN, AGNP,GNP) is 1306975909

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
COLLEEN KATHLEEN STEPHENS (MSN, APRN, AGNP,GNP)
NPI
1306975909
Phone
(512) 819-0500
Address
4945 WILLIAMS DR
Enumeration Date
2 March 2007
Last Update Date
10 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2542150100
Graduation Year
2006 (20 years ago)
PAC ID
9830298413
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20070621000727
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for COLLEEN KATHLEEN STEPHENS (MSN, APRN, AGNP,GNP)

  • 4945 WILLIAMS DR

    GEORGETOWN, TX 786332008

    Phone: (512) 819-0500

    Type: Location

  • 4945 Williams Dr

    Georgetown, TX 786332008

    Phone: (512) 819-0500

    Type: Location

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (254) 724-8800

    Type: Mailing

  • 6901 MEDICAL PKWY

    WACO, TX 767127910

    Phone: (254) 751-4242

    Type: Location

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: 2007-06-21

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
I20070621000727INurse 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes6929$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3113$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 78633)

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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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

What NPI should I save for COLLEEN KATHLEEN STEPHENS (MSN, APRN, AGNP,GNP)?
Save NPI 1306975909 if you need a stable reference for COLLEEN KATHLEEN STEPHENS (MSN, APRN, AGNP,GNP).
Is COLLEEN KATHLEEN STEPHENS (MSN, APRN, AGNP,GNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does COLLEEN KATHLEEN STEPHENS (MSN, APRN, AGNP,GNP) work in?
You can think of COLLEEN KATHLEEN STEPHENS (MSN, APRN, AGNP,GNP) as practicing within Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is COLLEEN KATHLEEN STEPHENS (MSN, APRN, AGNP,GNP)'s primary listing?
We display Georgetown, Texas because that is what the record indicates for COLLEEN KATHLEEN STEPHENS (MSN, APRN, AGNP,GNP).
Is COLLEEN KATHLEEN STEPHENS (MSN, APRN, AGNP,GNP) a real provider?
This page reflects official NPPES data for NPI 1306975909. Always confirm identity and privileges with the practice and licensing boards.

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