Stacie Nelson, NP - Medicare Nurse Practitioner in Temple, TX

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Stacie Nelson, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Temple, Texas. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mahmood A Siddiqui Md Pc and her current practice location is 2401 S 31st St, Temple, Texas. You can reach out to her office (for appointments etc.) via phone at (254) 724-2111.

Stacie Nelson is licensed to practice in Texas (license number 1177888) 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 1164518502.

Contact Information

Stacie Nelson, NP
2401 S 31st St,
Temple, TX 76508-0001
(254) 724-2111
(254) 724-7603

Map and Direction




Provider's Profile

Full NameStacie Nelson
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
Location2401 S 31st St, Temple, 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:
  • Stacie Nelson graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1164518502
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 10/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4880694389
  • Enrollment ID: I20130409000161

Medical Identifiers

Medical identifiers for Stacie Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164518502NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 1177888 (Texas)Primary
363LA2200XNurse Practitioner - Adult Health 17242 (Tennessee)Secondary
363LA2200XNurse Practitioner - Adult Health RN129463NP (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Union General HospitalBlairsville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mahmood A Siddiqui Md Pc63059415353

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. Stacie Nelson allows following entities to bill medicare on her behalf.
Entity NameMahmood A Siddiqui Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427070523
PECOS PAC ID: 6305941535
Enrollment ID: O20070417000666
Entity NameUrgent Care Centers Of East Tennessee, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316124852
PECOS PAC ID: 1951485150
Enrollment ID: O20080227000117

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. Stacie Nelson 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
Stacie Nelson, NP
Po Box 844658, Suite B,
Dallas, TX 75284-4658

Ph: (800) 994-0371		Stacie Nelson, NP
2401 S 31st St,
Temple, TX 76508-0001

Ph: (254) 724-2111

Reviews and Comments


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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.