MS. PATRICIA ANN JUSTICE STEVENSON APRN
NPI 1417153776
Clinical Nurse Specialist - Adult Health in Tyler, TX

Q: What is Patricia Stevenson's NPI number?

The NPI number for Patricia Stevenson is 1417153776. It was assigned to this individual provider in the NPPES registry on June 25, 2007. The provider is also known as Ms. Patricia Ann Justice Aprn Acns.

Q: What is Patricia Stevenson's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Active since June 25, 2007PECOS EnrolledAccepts Medicare Assignment

6115 NEW COPELAND RD STE 640, TYLER, TX 75703(405) 473-2123(903) 630-8797 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Patricia Ann Justice Stevenson Aprn NPPES

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

MS. PATRICIA ANN JUSTICE STEVENSON APRN (NPI 1417153776) is an individual adult health provider in Tyler, Texas, licensed in Texas (1230779) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417153776

Entity TypeIndividualFemale

Primary Taxonomy364SA2200X

Provider Legal NameMS. PATRICIA ANN JUSTICE STEVENSONCredential: APRN

Location Address6115 NEW COPELAND RD STE 640Tyler, TX 75703-6368

Mailing Address6115 New Copeland Rd Ste 640Tyler, TX 75703-6368 · (405) 473-2123 · Fax (903) 630-8797

Phone(405) 473-2123

Fax(903) 630-8797

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJune 25, 2007

Last NPPES UpdateJune 8, 2026

NPPES CertifiedJune 8, 2026

✔ NPI 1417153776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SA2200X

License✔ Licensed in TX · 1230779

6115 NEW COPELAND RD STE 640, Tyler, TX 75703

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Other Names 1

Former Name (1)Ms. Patricia Ann Justice Aprn Acns

Other Identifiers 1

Other1230779TX · Texas Board Of Nursing

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Patricia Ann Justice Stevenson Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446744593

PECOS Enrollment IDI20260522001394

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 2

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

MRS. KELLI EMELINE IVY APRN, FNP-BC

Nurse Practitioner (Family)

6115 NEW COPELAND RD STE 640
TYLER, TX 75703

Smith County (903) 420-3443

VITALITY MOBILE WOUND CARE LLC

Nurse Practitioner (Family)

6115 NEW COPELAND RD STE 640
TYLER, TX 75703

Smith County (903) 420-3443

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 Patricia Stevenson's NPI number?

The NPI number for Patricia Stevenson is 1417153776. It was assigned to this individual provider in the NPPES registry on June 25, 2007. The provider is also known as Ms. Patricia Ann Justice Aprn Acns.

Where is Patricia Stevenson located?

Patricia Stevenson practices at 6115 New Copeland Rd Ste 640, Tyler, TX 75703. The listed phone number is (405) 473-2123.

What is Patricia Stevenson's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Patricia Stevenson enrolled in Medicare?

Yes. Patricia Stevenson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Patricia Stevenson was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.