MRS. STACIE L EDWARDS (APRN, FNP-C) – Family Nurse Practitioner, NPI 1710728837

MRS. STACIE L EDWARDS (APRN, FNP-C) is a healthcare provider. based in Lufkin, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 1165337 (TX). The NPI Number for MRS. STACIE L EDWARDS (APRN, FNP-C) is 1710728837

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STACIE L EDWARDS (APRN, FNP-C)
NPI
1710728837
Phone
(936) 205-2776
Address
2132 S 1st St
Enumeration Date
3 June 2024
Last Update Date
31 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814443278
Graduation Year
2024 (2 years ago)
PAC ID
0648702233
Group Practice PAC ID
9133213192
Professional Enrollment ID
I20241021003766
Address ID
TX773844167TH17350WAYX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. STACIE L EDWARDS (APRN, FNP-C)

  • 2132 S 1st St

    Lufkin, TX 759015902

    Phone: (936) 205-2776

    Type: Location

  • 2132 S 1ST ST

    LUFKIN, TX 759015902

    Phone:

    Type: Mailing

  • 504 E. HOSPITAL STREET

    SAN AUGUSTINE, TX 75972

    Phone: (936) 275-9716

    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: 2024-10-21

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
I20241021003766INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75901)

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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: 9133213192View full group profile
NameSpecialtyState
-TX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
-TX
Cardiovascular Disease (Cardiology)TX
Internal Medicine, Infectious DiseaseTX
Family PracticeTX
-TX
Pulmonary DiseaseMO
-TX
-TX

Reviews

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Frequently asked questions

Can I cross-check MRS. STACIE L EDWARDS (APRN, FNP-C) using NPI 1710728837?
NPI 1710728837 belongs to MRS. STACIE L EDWARDS (APRN, FNP-C); compare other details if you need extra assurance.
Is MRS. STACIE L EDWARDS (APRN, FNP-C) still an active registrant?
MRS. STACIE L EDWARDS (APRN, FNP-C) carries an active NPI according to the public dataset.
What area of care is associated with MRS. STACIE L EDWARDS (APRN, FNP-C)?
MRS. STACIE L EDWARDS (APRN, FNP-C)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is MRS. STACIE L EDWARDS (APRN, FNP-C) registered?
Use Lufkin, Texas as the headline location for MRS. STACIE L EDWARDS (APRN, FNP-C) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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