CATHERINE M STEPHENS – Family Nurse Practitioner, NPI 1619554664

CATHERINE M STEPHENS is a healthcare provider. based in Fort worth, Texas. specializing in NURSE PRACTITIONER. They hold a License No. F03210688 (TX). The NPI Number for CATHERINE M STEPHENS is 1619554664

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CATHERINE M STEPHENS
NPI
1619554664
Phone
(817) 349-7541
Address
5925 CONVAIR DR
Enumeration Date
25 March 2021
Last Update Date
23 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173497541
Graduation Year
2020 (6 years ago)
PAC ID
4183022726
Group Practice PAC ID
0749535763
Professional Enrollment ID
I20211012000856
Address ID
TX761091276FO5925XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for CATHERINE M STEPHENS

  • 5925 CONVAIR DR

    STE 509

    FORT WORTH, TX 761091276

    Phone: (817) 349-7541

    Fax: (817) 349-7549

    Type: Mailing

  • 6100 HARRIS PKWY

    FORT WORTH, TX 761324101

    Phone: (817) 433-2100

    Type: Location

  • 5925 CONVAIR DR STE 509

    FORT WORTH, TX 761091276

    Phone: (817) 349-7541

    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 $99.

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

Last reported payment date: 2023-10-19 • Largest payer in this snapshot: Organon LLC ($59).

Total Amount

$99

General + Research + Ownership

Payments

3

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

2023-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$59
Novo Nordisk Inc$40
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: 2021-10-12

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
I20211012000856INurse 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
J1100Injection, dexamethasone sodium phosphate, 1 mg22112$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg14922$0
99213Established patient office or other outpatient visit, 20-29 minutes13661$0
J1885Injection, ketorolac tromethamine, per 15 mg4614$0
96372Injection of drug or substance under skin or into muscle3917$0
View full utilization report →

Insurance plans in this area (ZIP 76109)

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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: 0749535763View full group profile
NameSpecialtyState
-TX
C H I R O P R A C T I CTX
C H I R O P R A C T I CTX
C H I R O P R A C T I CTX
C H I R O P R A C T I CTX

Reviews

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Frequently asked questions

How do I look up CATHERINE M STEPHENS by NPI?
Use NPI 1619554664 when you need to reference CATHERINE M STEPHENS in forms, claims, or directories.
Is CATHERINE M STEPHENS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does CATHERINE M STEPHENS list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for CATHERINE M STEPHENS. Clinical services aligned with this taxonomy classification.
Where is CATHERINE M STEPHENS's primary listing?
We display Fort Worth, Texas because that is what the record indicates for CATHERINE M STEPHENS.
What if Fort Worth, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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