STEPHANIE NIELSEN (MD) – Internal Medicine Physician, NPI 1568923258

STEPHANIE NIELSEN (MD) is a healthcare provider. based in San antonio, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. T3838 (TX). The NPI Number for STEPHANIE NIELSEN (MD) is 1568923258

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE NIELSEN (MD)
NPI
1568923258
Phone
(210) 464-3807
Address
206 GAYLE AVE
Enumeration Date
26 March 2019
Last Update Date
19 June 2025

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
8178774105
Graduation Year
2019 (7 years ago)
PAC ID
8921494592
Group Practice PAC ID
7113904657
Professional Enrollment ID
I20220407000443
Address ID
TX762445425FO3848XPKWY401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for STEPHANIE NIELSEN (MD)

  • 206, Gayle Avenue, San Antonio, Bexar County, Texas, 78223, United States

    SAN ANTONIO, TX 782233342

    Phone: (210) 464-3807

    Type: Mailing

  • 900 8th Ave

    Fort Worth, TX 761043902

    Phone: (817) 347-1140

    Type: Location

  • Medical City Fort Worth, 900, 8th Avenue, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761043902

    Phone: (817) 347-1140

    Type: Location

  • 1000 W CANNON ST

    FORT WORTH, TX 761043029

    Phone: (817) 725-7900

    Type: Mailing

  • 3848 N TARRANT PKWY STE 160

    FORT WORTH, TX 762445425

    Phone: (817) 725-7880

    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 $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Organon LLC ($39).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2022-04-07

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
I20220407000443IInternal MedicineTXTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes475137$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes20683$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes147133$0
99239Hospital discharge day management, more than 30 minutes147139$0
99497Advance care planning, first 30 minutes118109$0
View full utilization report →

Insurance plans in this area (ZIP 78223)

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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: 7113904657View full group profile
NameSpecialtyState
Physician AssistantTX
Nephrology, Internal MedicineTX
Physician AssistantTX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
Nurse PractitionerTX
Internal MedicineTX
Internal MedicineTX
Nephrology, Internal MedicineTX
Physician AssistantTX
Internal MedicineLA

Reviews

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Frequently asked questions

What unique ID ties claims to STEPHANIE NIELSEN (MD)?
NPI 1568923258 is assigned to STEPHANIE NIELSEN (MD) under the national enumeration system.
Is STEPHANIE NIELSEN (MD) currently active in the NPI registry?
CMS-published data lists STEPHANIE NIELSEN (MD) as an active registrant.
Can you summarize STEPHANIE NIELSEN (MD)'s specialty in plain language?
Clinically, the directory lists STEPHANIE NIELSEN (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place STEPHANIE NIELSEN (MD)?
The snapshot lists San Antonio, Texas for STEPHANIE NIELSEN (MD); download NPPES for the complete set.
How can I contact STEPHANIE NIELSEN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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