Ms Patricia Ann Justice Stevenson, APRN - Medicare Certified Clinical Nurse Specialist (cns) in Tyler, TX

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Ms Patricia Ann Justice Stevenson, APRN is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Tyler, Texas. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Vitality Mobile Wound Care Llc and her current practice location is 6115 New Copeland Rd Ste 640, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (405) 473-2123.

Ms Patricia Ann Justice Stevenson is licensed to practice in Texas (license number 1230779) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417153776.

Contact Information

Ms Patricia Ann Justice Stevenson, APRN
6115 New Copeland Rd Ste 640,
Tyler, TX 75703-6368
(405) 473-2123
(903) 630-8797

Map and Direction




Provider's Profile

Full NameMs Patricia Ann Justice Stevenson
GenderFemale
SpecialityCertified Clinical Nurse Specialist (cns)
Experience7 Years
Location6115 New Copeland Rd Ste 640, Tyler, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Patricia Ann Justice Stevenson graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1417153776
  • Provider Enumeration Date: 06/25/2007
  • Last Update Date: 06/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0446744593
  • Enrollment ID: I20260522001394

Medical Identifiers

Medical identifiers for Ms Patricia Ann Justice Stevenson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417153776NPI-NPPES
1230779OtherTXTEXAS BOARD OF NURSING

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2200XClinical Nurse Specialist - Adult Health 1230779 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vitality Mobile Wound Care Llc77194718612

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Patricia Ann Justice Stevenson allows following entities to bill medicare on her behalf.
Entity NameVitality Mobile Wound Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811876824
PECOS PAC ID: 7719471861
Enrollment ID: O20251216001324

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Patricia Ann Justice Stevenson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Patricia Ann Justice Stevenson, APRN
6115 New Copeland Rd Ste 640,
Tyler, TX 75703-6368

Ph: (405) 473-2123		Ms Patricia Ann Justice Stevenson, APRN
6115 New Copeland Rd Ste 640,
Tyler, TX 75703-6368

Ph: (405) 473-2123

Reviews and Comments


Clinical Nurse Specialist Nurses in Tyler, TX

Matthew Steven Rich, MSN, RN, AGCNS-BC
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 2323 W Front St, Tyler, TX 75702
Phone: 903-597-1351    Fax: 903-597-1351
Dr. Mary Frances Skeels, CNS/PMH
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 409 W Ferguson St, Tyler, TX 75702
Phone: 903-596-8353    Fax: 903-596-9471
Mrs. Mary C Shellnutt, APRN, AGCNS-BC
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 501 Saunders Ave Ste 320, Tyler, TX 75702
Phone: 903-606-5140    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.