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SUSAN M STONE NP
NPI 1235279225
Midwife in Houston, TX

Active since February 07, 2007PECOS Enrolled
1504 TAUB LOOP, HOUSTON, TX 77030(713) 873-8794 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2024, Apr 5, 2023, Apr 22, 2021 (3 updates tracked since 2021).

About Susan M Stone Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN M STONE NP (NPI 1235279225) is an individual midwife in Houston, Texas, licensed in Texas (AP105468) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1235279225
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameSUSAN M STONECredential: NP
Location Address1504 TAUB LOOPHouston, TX 77030-1608
Mailing Address1504 Taub LoopHouston, TX 77030-1608 · (713) 873-8794
Phone(713) 873-8794
Sole ProprietorNo
Enumeration DateFebruary 7, 2007
Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1235279225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License✔ Licensed in TX · AP105468
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
1504 TAUB LOOP, Houston, TX 77030
Open in Google Maps ↗

Secondary Practice Location 1

Location 11631 North Loop W Ste 220Houston, TX 77008-1530 · Phone (713) 486-7900 · Fax (713) 486-3590

Other Identifiers 3

OtherP00600829TX · Railroad Medicare
Medicaid163962703TX
Other8Y1548TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan M Stone Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Susan Stone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Physicians
0.3 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAVEN SARGSYAN MD
Internal Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-8890
KAYE-ANN ANTONETTE CHRISTIE PA-C
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-2000
EMILY MARIE WEBSTER PA-C
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-8890
DR. MIGUEL A NIETO D.O.
Emergency Medicine
1504 TAUB LOOP, EMERGENCY CENTER
HOUSTON, TX 77030
Harris County (713) 873-7045
DR. LOUIS BRUNO FORNAGE MD
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-3060
DR. MICHELE TROUTMAN GIFFORD MD
Obstetrics & Gynecology
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 798-1750
DR. KYLE SUEN M.D.
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-8890
DR. MIYSHA SHAW GIRARDEAU MD, MS
Internal Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (771) 387-3889

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Stone's NPI number?

The NPI number for Susan Stone is 1235279225. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Susan Stone located?

Susan Stone practices at 1504 Taub Loop, Houston, TX 77030. The listed phone number is (713) 873-8794.

What is Susan Stone's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Susan Stone enrolled in Medicare?

Yes. Susan Stone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Stone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Stone reassigns Medicare benefits to Ut Physicians (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Stone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Stone accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Susan Stone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Stone was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.