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

Stacey Mitchum, FNP-C

Individual provider Family Nurse Practitioner · NPI 1669822151

Stacey Mitchum, FNP-C is a Nurse Practitioner in Kyle, Texas. Qualified in 2016, 10 years ago. Practices with Guadalupe Regional Medical Group, a 37-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2016
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5401 Fm 1626
Kyle, TX 78640-6038
Phone: (512) 268-1940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP131144 (TX)

Record details

NPI number1669822151
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 15, 2016
Last updated in NPPESJune 15, 2016
Mailing address205 Reimer Ave, San Marcos, TX 78666-5003

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Guadalupe Regional Medical Group — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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