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Active NPI 1487697538 Individual Practitioner Female Practitioner

Stacey D Ervin , FNP

Nurse Practitioner • Longview, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacey Ervin, FNP is a certified Nurse Practitioner practicing in Longview, TX. With approximately 22 years of clinical experience since completing medical education in 2004, Stacey Ervin delivers high-quality medical care to the local community at 3111 MCCANN RD.

Stacey Ervin accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with low level of medical decision making, per day, if using time, at least, injection, dexamethasone sodium phosphate, 1 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3111 Mccann Rd

Longview, TX 756057842

Telephone 9037531212
Fax 2147122487
Associated Practice Facility / Clinic
🏢 Longview Er Operations Llc Facility NPI 1366815144

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Longview, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +11.7 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
49 Specialists

Practicing in Longview, TX (4894 Statewide)

Telehealth Adoption Rate
10.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ervin (22 Years) 22 Yrs
Longview Specialty Average (10.3 Years) 10.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
159 24 $110.00 $61.57

Medical Specialties & State Licenses

CMS Verified: 2023-11-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 630620

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX AP113426

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. James D'etienne , MD

Emergency Medicine

NPI 1003834714

Doctor of Medicine (M.D.)

Cheryl Jalfon

Emergency Medicine

NPI 1013952076
Dr. Robin Goodman , MD

Emergency Medicine

NPI 1063526606

Doctor of Medicine (M.D.)

Richard Johnson , PA-C

Physician Assistant

NPI 1104848555

Physician Assistant (Certified)

Dr. John Sanders , MD

Emergency Medicine

NPI 1114030830

Doctor of Medicine (M.D.)

Dr. Deborah Boyer , MD

Family Medicine

NPI 1124132584

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location November 07, 2023

Registered at 3111 MCCANN RD, LONGVIEW, TX 756057842 (Tel: 9037531212)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2023

Nurse Practitioner (License #AP113426 in TX)

NPI Profile Active January 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2018

Registered at 1000 PINE ST, TEXARKANA, TX 755015100 (Tel: 2147122489)

📍
Updated Business Mailing Address January 26, 2018

Registered at 370 UTAH ST, AVERY, TX 755542600 (Tel: 9039080352)

👤
Provider Name / Credentials Updated January 26, 2018

Recorded as STACEY ERVIN, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2018

Nurse Practitioner (License #AP113426 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2018

Nurse Practitioner (License #630620 in TX)

NPI Profile Active April 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2015

Registered at 1000 PINE ST, TEXARKANA, TX 755015100 (Tel: 2147122489)

📍
Updated Business Mailing Address April 02, 2015

Registered at 370 UTAH ST, AVERY, TX 755542600 (Tel: 9039080352)

👤
Provider Name / Credentials Updated April 02, 2015

Recorded as STACEY PEEK, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2015

Nurse Practitioner (License #630620 in TX)

🟢
Initial NPI Registration & Enumeration June 14, 2006

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: 1487697538
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2006
Last Update: November 07, 2023
Sole Proprietor: No

Mailing Address

370 Utah St

Avery, TX 755542600

Phone: 9039080352

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.