STEPHANIE DAVIS (FNP) – Registered Nurse, NPI 1497362198
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for STEPHANIE DAVIS (FNP)
224 SUNNYS HALO BLVD
BULLARD, TX 757575579
Phone: (903) 530-7782
Type: Mailing
2026 S JACKSON ST
JACKSONVILLE, TX 757665822
Phone: (903) 541-4500
Type: Location
909 E SE LOOP 323
TYLER, TX 757019612
Phone: (903) 531-2850
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2023-11-16 • Largest payer in this snapshot: COLOPLAST CORP ($56).
Total Amount
$89
General + Research + Ownership
Payments
2
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| COLOPLAST CORP | $56 |
| Merz North America, Inc. | $32 |
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: 2022-10-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221025000730 | I | Dermatology | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 473 | 79 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 151 | 126 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 140 | 111 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 137 | 118 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 97 | 86 | $0 |
Insurance plans in this area (ZIP 75757)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| P A T H O L O G Y | TX | |
| Physician Assistant | TX | |
| Family Practice | TX | |
| D E R M A T O L O G Y | NY | |
| Physician Assistant | TX | |
| P A T H O L O G Y | TX | |
| - | TX |
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