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Active NPI 1164855078 Individual Practitioner Female Practitioner

Stephanie Large , NP

Nurse Practitioner • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Stephanie Large, NP is a registered healthcare professional specializing in Nurse Practitioner in Fort Worth, TX. Practice services are available at 855 MONTGOMERY ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

855 Montgomery St

Fort Worth, TX 761072553

Telephone 8177352660
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.6 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
155 Specialists

Practicing in Fort Worth, TX (4894 Statewide)

Telehealth Adoption Rate
16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
44 28 $137.00 $60.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 12 $203.00 $88.46

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 836232

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
325708103 (TX)
Medicaid State Provider ID
325708101 (TX)
Commercial Insurance / Payer ID Bcbs
8364NJ (TX)
Commercial Insurance / Payer ID Bcbs
8025ND (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Dr. Barbara Atkinson , DO

Internal Medicine - Infectious Disease

NPI 1053375543

Doctor of Osteopathic Medicine (D.O.)

Dr. Sherif Al-Farra , MD

Internal Medicine - Pulmonary Disease

NPI 1093770737

Doctor of Medicine (M.D.)

Dr. Evert Bentley , DO

Internal Medicine

NPI 1093793226

Doctor of Osteopathic Medicine (D.O.)

Dr. John Orr , DO

Psychiatry & Neurology - Neurology

NPI 1104880046

Doctor of Osteopathic Medicine (D.O.)

NPI 1144264813

Doctor of Philosophy (Ph.D.)

Nancy Tierney , NP

Nurse Practitioner - Acute Care

NPI 1164487583

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active November 10, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address November 10, 2017

Registered at 855 MONTGOMERY ST, FORT WORTH, TX 761072553 (Tel: 8177355058)

📍
Updated Practice Location November 10, 2017

Registered at 855 MONTGOMERY ST, FORT WORTH, TX 761072553 (Tel: 8177352660)

👤
Provider Name / Credentials Updated November 10, 2017

Recorded as STEPHANIE LARGE, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2017

Nurse Practitioner (License #836232 in TX)

NPI Profile Active July 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2015

Registered at 855 MONTGOMERY ST, FORT WORTH, TX 761072553 (Tel: 8177352660)

📍
Updated Business Mailing Address July 03, 2015

Registered at PO BOX 99335, FORT WORTH, TX 761990335

👤
Provider Name / Credentials Updated July 03, 2015

Recorded as STEPHANIE LARGE, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2015

Nurse Practitioner (License #836232 in TX)

🟢
Initial NPI Registration & Enumeration August 14, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164855078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2013
Last Update: November 10, 2017
Sole Proprietor: No

Mailing Address

855 Montgomery St

Fort Worth, TX 761072553

Phone: 8177355058

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.