STEPHANIE ALLEN (PNP-PC) – Pediatric Nurse Practitioner, NPI 1154865921
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STEPHANIE ALLEN (PNP-PC)
3230 I 30 STE 100
MESQUITE, TX 751502662
Phone:
Type: Mailing
420, West John Carpenter Freeway, Las Colinas, Irving, Dallas County, Texas, 75039, United States
IRVING, TX 750392014
Phone: (972) 957-3000
Type: Mailing
143, West Airport Freeway, Irving, Dallas County, Texas, 75062, United States
IRVING, TX 750626204
Phone: (469) 488-4500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $808.
Total Amount is formed as General ($808) + Research ($0) + Ownership ($0) = $808.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($288).
Total Amount
$808
General + Research + Ownership
Payments
39
Total payment records
General Amount
$808
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-08-25
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 |
|---|---|---|---|---|
| I20220825001299 | I | Nurse Practitioner | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75150)
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