STELLA MONGINA KEBASO
NPI 1437627536
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Active since November 06, 2018PECOS EnrolledAccepts Medicare Assignment
5200 HARRY HINES BLVD, DALLAS, TX 75235(214) 590-8000 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 13, 2024, Nov 6, 2018 (2 updates tracked since 2018).

About Stella Mongina Kebaso NPPES

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

STELLA MONGINA KEBASO (NPI 1437627536) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (AP135563) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1437627536
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTELLA MONGINA KEBASO
Location Address5200 HARRY HINES BLVDDallas, TX 75235-7709
Mailing Address8621 Vanderbilt Dr Apt 2802Fort Worth, TX 76120-4963
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 6, 2018
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1437627536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · AP135563
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License AP135563 (TX)
5200 HARRY HINES BLVD, Dallas, TX 75235

Accepted Insurance

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

Stella Mongina Kebaso 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 ID7810371895
PECOS Enrollment IDI20220825002891
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 3

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
44 services16 patients
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.
44 services16 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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 20

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

Urology
5200 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5200 HARRY HINES BLVD
DALLAS, TX 75235
Internal Medicine (Cardiovascular Disease)
5200 HARRY HINES BLVD
DALLAS, TX 75235
Anesthesiology
5200 HARRY HINES BLVD
DALLAS, TX 75235
Internal Medicine (Medical Oncology)
5200 HARRY HINES BLVD
DALLAS, TX 75235
Anesthesiology
5200 HARRY HINES BLVD
DALLAS, TX 75235
Surgery
5200 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Practitioner (Family)
5200 HARRY HINES BLVD
DALLAS, TX 75235

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 Stella Kebaso's NPI number?

The NPI number for Stella Kebaso is 1437627536. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Where is Stella Kebaso located?

Stella Kebaso practices at 5200 Harry Hines Blvd, Dallas, TX 75235. The listed phone number is (214) 590-8000.

What is Stella Kebaso's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stella Kebaso enrolled in Medicare?

Yes. Stella Kebaso 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.

What insurance does Stella Kebaso accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Moda Health Plan, Inc., Oscar Insurance Company and Providence Health Plan and 2 other insurers list Stella Kebaso 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 Stella Kebaso was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.