STEPHANIE SEGELSTROM CPNP
NPI 1750700324
Nurse Practitioner - Pediatrics in Mansfield, TX

Q: What is Stephanie Segelstrom's NPI number?

The NPI number for Stephanie Segelstrom is 1750700324. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Q: What is Stephanie Segelstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment

801 MATLOCK RD, MANSFIELD, TX 76063(817) 347-8420(817) 347-8425 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2021, Mar 22, 2019 (2 updates tracked since 2019).

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About Stephanie Segelstrom Cpnp NPPES

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

STEPHANIE SEGELSTROM CPNP (NPI 1750700324) is an individual pediatrics provider in Mansfield, Texas, licensed in Texas (750733) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1750700324

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSTEPHANIE SEGELSTROMCredential: CPNP

Location Address801 MATLOCK RDMansfield, TX 76063-9174

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1860

Phone(817) 347-8420

Fax(817) 347-8425

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 10, 2014

Last NPPES UpdateApril 6, 20212 updates tracked since enumeration

✔ NPI 1750700324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · 750733

801 MATLOCK RD, Mansfield, TX 76063

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..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 Segelstrom Cpnp 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 ID4981829991

PECOS Enrollment IDI20140708001137

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 76063 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

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Other Providers at the Same Location NPPES 15

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

COOK CHILDREN'S MEDICAL CENTER

Clinic/Center (Urgent Care)