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

Q: What is Stacy Tomberlin's NPI number?

The NPI number for Stacy Tomberlin is 1275607293. It was assigned to this individual provider in the NPPES registry on November 20, 2006. The provider is also known as Stacy Lynn Katterhenry Arnp.

Q: What is Stacy Tomberlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Tomberlin was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

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: November 01, 2026.

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

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Stacy Tomberlin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jewish Family Service Of Dallas, Inc

Same address

Family Medicine

12606 GREENVILLE AVE STE 200
Dallas, TX 75243

Reassigned Medicare billing, Texas enrollment
25 clinicians in this Medicare group

NPI 1982611000 (469) 780-4590

Texas Health Physicians Group

2.7 mi

Internal Medicine

8440 WALNUT HILL LN STE 800
Dallas, TX 75231

Reassigned Medicare billing, Texas enrollment
1,639 clinicians in this Medicare group

NPI 1053767897 (214) 860-6300

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

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 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 4

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

JEWISH FAMILY SERVICE OF DALLAS, INC

Family Medicine

12606 GREENVILLE AVE STE 200
DALLAS, TX 75243

Dallas County (469) 780-4590

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 Stacy Tomberlin's NPI number?

The NPI number for Stacy Tomberlin is 1275607293. It was assigned to this individual provider in the NPPES registry on November 20, 2006. The provider is also known as Stacy Lynn Katterhenry Arnp.

Where is Stacy Tomberlin located?

Stacy Tomberlin practices at 12606 Greenville Ave Ste 200, Dallas, TX 75243. The listed phone number is (469) 780-4590.

What is Stacy Tomberlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacy Tomberlin enrolled in Medicare?

Yes. Stacy Tomberlin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacy Tomberlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Tomberlin reassigns Medicare benefits to 2 organizations: Jewish Family Service Of Dallas, Inc (Dallas, TX) and Texas Health Physicians Group (Dallas, TX). Each 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 Stacy Tomberlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Tomberlin accept?

Health plans from WellPoint list Stacy Tomberlin 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 Stacy Tomberlin was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.