Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stefanie Nicole Rust, DO

Individual provider Family Medicine Physician · NPI 1154684355

Dr. Stefanie Nicole Rust, DO is a Family Practice in Ennis, Texas. Qualified in 2012, 14 years ago. Practices with Northeast Arkansas Clinic Charitable Foundation, Inc, a 295-clinician group and accepts Medicare assignment. Licensed in Arkansas and Texas.

Years since qualifying
14
Licensed in
AR, TX
In the registry since
2012
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2201 W Lampasas St
Ennis, TX 75119
Phone: (972) 875-0900
Fax: (469) 256-2154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence E8294 (AR)
Family Medicine Physician Taxonomy 207Q00000X · Licence Q4269 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence E8294 (AR)

Record details

NPI number1154684355
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 21, 2012
Last updated in NPPESJanuary 23, 2019
Mailing address2201 West Lampasas Street, Ennis, TX 75119

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Northeast Arkansas Clinic Charitable Foundation, Inc. — 295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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