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STACY LYNN TOMBERLIN ARNP
NPI 1275607293
Nurse Practitioner - Family in Dallas, TX

Active since November 20, 2006PECOS Enrolled
12606 GREENVILLE AVE STE 200, DALLAS, TX 75243(469) 780-4590(833) 450-0375 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2025, Jul 16, 2021, May 16, 2018 (3 updates tracked since 2018).

About Stacy Lynn Tomberlin Arnp NPPES

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

STACY LYNN TOMBERLIN ARNP (NPI 1275607293) is an individual family provider in Dallas, Texas, licensed in Texas (AP130049) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275607293
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY LYNN TOMBERLINCredential: ARNP
Location Address12606 GREENVILLE AVE STE 200Dallas, TX 75243-1923
Mailing Address12606 Greenville Ave Ste 200Dallas, TX 75243-1923 · (469) 780-4590 · Fax (833) 450-0375
Phone(469) 780-4590
Fax(833) 450-0375
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1275607293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP130049
Also ListedNurse PractitionerTaxonomy 363L00000X · License R0075357 (OK)
12606 GREENVILLE AVE STE 200, Dallas, TX 75243
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Other Names 1

Former Name (1)Stacy Lynn Katterhenry Arnp

Other Identifiers 1

Medicaid200102380AOK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Lynn Tomberlin Arnp 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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
147 services119 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services74 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
14 services14 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

JEWISH FAMILY SERVICE OF DALLAS, INC
Family Medicine
12606 GREENVILLE AVE STE 200
DALLAS, TX 75243
Dallas County (469) 780-4590
DR. HEATHER MICHELE ESQUIVEL M.D.
Family Medicine
12606 GREENVILLE AVE STE 200
DALLAS, TX 75243
Dallas County (469) 780-4590
GWENDOLYN ANN WITTENBROOK MA, RD, CSP, LD
Dietitian, Registered
12606 GREENVILLE AVE STE 200
DALLAS, TX 75243
Dallas County (469) 780-4590

Frequently Asked Questions

What is Stacy Tomberlin's NPI number?

The NPI number assigned to this healthcare provider is 1275607293, enumerated as an "individual" on November 20, 2006.

Where is the provider located?

The provider is located at 12606 GREENVILLE AVE STE 200 DALLAS, TX 75243 and the phone number is (469) 780-4590.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

What insurance does Stacy Tomberlin accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.