STEPHANNIE LOU LEGARRETTA (AGPCNP-BC) – Gerontology Nurse Practitioner, NPI 1801537790

STEPHANNIE LOU LEGARRETTA (AGPCNP-BC) is a healthcare provider. based in Horizon city, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. 1074209 (TX). The NPI Number for STEPHANNIE LOU LEGARRETTA (AGPCNP-BC) is 1801537790

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANNIE LOU LEGARRETTA (AGPCNP-BC)
NPI
1801537790
Phone
(915) 252-8199
Address
13840 VILLA VISTA AVE
Enumeration Date
5 April 2022
Last Update Date
5 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9153003484
Graduation Year
2021 (5 years ago)
PAC ID
8224404983
Group Practice PAC ID
0547594962
Professional Enrollment ID
I20221020001660
Address ID
TX799126122EL106XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for STEPHANNIE LOU LEGARRETTA (AGPCNP-BC)

  • 13840 VILLA VISTA AVE

    HORIZON CITY, TX 799282321

    Phone: (915) 252-8199

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 154 Open Payments records for all available years, with a total value of $3,881.

Total Amount is formed as General ($3,881) + Research ($0) + Ownership ($0) = $3,881.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,679).

Total Amount

$3,881

General + Research + Ownership

Payments

154

Total payment records

General Amount

$3,881

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2022-10-20

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
I20221020001660INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes12170$0
View full utilization report →

Insurance plans in this area (ZIP 79928)

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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: 0547594962View full group profile
NameSpecialtyState
Nephrology, Internal Medicine, Geriatric Medicine, Nephrology, Internal MedicineTX
Internal MedicineTX
R H E U M A T O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX
G A S T R O E N T E R O L O G YTX

Reviews

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Frequently asked questions

What number should I use to identify STEPHANNIE LOU LEGARRETTA (AGPCNP-BC) for billing?
Administrative and clinical systems typically use NPI 1801537790 for STEPHANNIE LOU LEGARRETTA (AGPCNP-BC).
Should I treat STEPHANNIE LOU LEGARRETTA (AGPCNP-BC) as an active provider?
Patients and plans typically see STEPHANNIE LOU LEGARRETTA (AGPCNP-BC) as active in the national extract.
What type of care does STEPHANNIE LOU LEGARRETTA (AGPCNP-BC) provide?
STEPHANNIE LOU LEGARRETTA (AGPCNP-BC)'s profile centers on Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit STEPHANNIE LOU LEGARRETTA (AGPCNP-BC) in Horizon City, Texas?
For routing, start with Horizon City, Texas for STEPHANNIE LOU LEGARRETTA (AGPCNP-BC), then verify phone and hours locally.
Can I export STEPHANNIE LOU LEGARRETTA (AGPCNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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