Stacy Laine Gregory, ACNP - Medicare Nurse Practitioner in Tyler, TX

  1. Home
  2. Nurse Practitioner
  3. TX
  4. Tyler
Stacy Laine Gregory, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Tyler, Texas. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northeast Texas Emergency Physicians Pllc and her current practice location is 1809 Capital Dr, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 509-4499.

Stacy Laine Gregory is licensed to practice in Texas (license number 601016) 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 1528483591.

Contact Information

Stacy Laine Gregory, ACNP
1809 Capital Dr,
Tyler, TX 75701-8438
(903) 509-4499
(903) 509-4490

Map and Direction




Provider's Profile

Full NameStacy Laine Gregory
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1809 Capital Dr, 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:
  • Stacy Laine Gregory graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1528483591
  • Provider Enumeration Date: 02/26/2014
  • Last Update Date: 05/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628292612
  • Enrollment ID: I20140613000156

Medical Identifiers

Medical identifiers for Stacy Laine Gregory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528483591NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 601016 (Texas)Primary
363L00000XNurse Practitioner AP125238 (Texas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Mother Frances HospitalTyler, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Texas Emergency Physicians Pllc8527420306138

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. Stacy Laine Gregory allows following entities to bill medicare on her behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091
Entity NameMother Frances Hospital Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952306672
PECOS PAC ID: 5597751024
Enrollment ID: O20040421001092
Entity NameMother Frances Hospital Regional Health Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679578439
PECOS PAC ID: 9234025636
Enrollment ID: O20040610001042
Entity NameCec Lakeway Urgent Care Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285088161
PECOS PAC ID: 8123318169
Enrollment ID: O20160603001598
Entity NameCec Tyler Er Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013375740
PECOS PAC ID: 7416226584
Enrollment ID: O20170705001353
Entity NameNortheast Texas Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114607611
PECOS PAC ID: 8527420306
Enrollment ID: O20230810001225

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. Stacy Laine Gregory 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
Stacy Laine Gregory, ACNP
13261 S Hillcreek Rd,
Whitehouse, TX 75791-5215

Ph: (903) 571-8545		Stacy Laine Gregory, ACNP
1809 Capital Dr,
Tyler, TX 75701-8438

Ph: (903) 509-4499

Reviews and Comments


Nurse Practitioner Nurses in Tyler, TX

Brandi Dunford, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 910 E Houston St Ste 330, Tyler, TX 75702
Phone: 903-606-7995    
Jacob G Thoele, AGACNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702
Phone: 903-606-8718    Fax: 903-606-1218
Abram Ambriz, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701
Phone: 903-595-5514    Fax: 903-262-3715
Anna Elise Fenton, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6210 S Broadway Ave, Tyler, TX 75703
Phone: 903-579-2700    Fax: 903-579-2799
Mary Anne Fitzgerald, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 815 N Broadway Ave, Tyler, TX 75702
Phone: 903-535-0023    Fax: 903-535-0052
Rendall Northcutt, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11937 Us Highway 271, Tyler, TX 75708
Phone: 903-877-7200    Fax: 903-877-5080
Kinsey Henry, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1720 S Beckham Ave, Tyler, TX 75701
Phone: 903-630-6211    

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.