MS. PATRICIA ANN JUSTICE STEVENSON APRN
NPI 1417153776
Clinical Nurse Specialist - Adult Health in Tyler, TX
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Patricia Stevenson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tyler, TX 75703
- Reassigned Medicare billing, Texas enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
TYLER, TX 75703
TYLER, TX 75703
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.
Which organization bills Medicare for Patricia Stevenson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Stevenson reassigns Medicare benefits to Vitality Mobile Wound Care LLC (Tyler, 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 Patricia Stevenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Patricia Stevenson accept?
Health plans from Blue Cross and Blue Shield of Texas list Patricia Stevenson 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 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 4 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.
# Ms. Patricia Ann Justice Stevenson, APRN · NPI 1417153776
Adult Health physician in Tyler, Texas. Individual provider, active in the CMS NPPES registry since June 25, 2007.
## Identity
- **NPI:** 1417153776 (Entity type: Individual)
- **Enumerated:** June 25, 2007
- **Primary specialty:** Clinical Nurse Specialist - Adult Health · taxonomy 364SA2200X
- **State license:** 1230779 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6115 NEW COPELAND RD STE 640, Tyler, TX 75703-6368
- **Phone:** (405) 473-2123 · **Fax:** (903) 630-8797
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Vitality Mobile Wound Care LLC (NPI 1811876824, Tyler, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 8, 2026
- **Other identifiers:** Other 1230779 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1417153776) · Data from the CMS NPPES public registry.