STEPHANIE BRAGG SLACK NP
NPI 1619417268
Nurse Practitioner - Family in Dallas, TX

Active since March 01, 2017PECOS EnrolledAccepts Medicare Assignment
6242 PALO PINTO AVE, DALLAS, TX 75214(214) 707-6428 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2022, Mar 1, 2017 (2 updates tracked since 2017).

About Stephanie Bragg Slack Np NPPES

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

STEPHANIE BRAGG SLACK NP (NPI 1619417268) is an individual family provider in Dallas, Texas, licensed in Texas (803296) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott And White Medical Center Lake Pointe, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619417268
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE BRAGG SLACKCredential: NP
Location Address6242 PALO PINTO AVEDallas, TX 75214-3616
Mailing Address6242 Palo Pinto AveDallas, TX 75214-3616 · (214) 707-6428
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 1, 2017
Last NPPES UpdateApril 11, 20222 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
NPI 1619417268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 803296
6242 PALO PINTO AVE, Dallas, TX 75214

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

Stephanie Bragg Slack Np 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 ID1254617731
PECOS Enrollment IDI20170418000888
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 10

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.
258 services205 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
165 services136 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
69 services61 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.
50 services50 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.
33 services28 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
30 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450742
Location6800 Scenic DrRowlett, TX 75088 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75214 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.

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 Stephanie Slack's NPI number?

The NPI number for Stephanie Slack is 1619417268. It was assigned to this individual provider in the NPPES registry on March 1, 2017.

Where is Stephanie Slack located?

Stephanie Slack practices at 6242 Palo Pinto Ave, Dallas, TX 75214. The listed phone number is (214) 707-6428.

What is Stephanie Slack's specialty?

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

Is Stephanie Slack enrolled in Medicare?

Yes. Stephanie Slack 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 Stephanie Slack accept?

Health plans from Blue Cross and Blue Shield of Texas list Stephanie Slack 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.

Is Stephanie Slack affiliated with any hospitals?

According to CMS data, Stephanie Slack is affiliated with Baylor Scott And White Medical Center Lake Pointe.

When was this NPI record last updated?

The NPPES record for Stephanie Slack was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.