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

Stacie Nelson, NP

Individual provider Acute Care Nurse Practitioner · NPI 1164518502

Stacie Nelson, NP is a Nurse Practitioner in Temple, Texas. Qualified in 2025, 1 year ago. Practices with Mahmood a Siddiqui MD PC, a 4-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia, Tennessee and Texas.

Years since qualifying
1
Licensed in
GA, TN, TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2401 S 31st St
Temple, TX 76508-0001
Phone: (254) 724-2111
Fax: (254) 724-7603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 144 Medical Center Dr, Copperhill, TN 37317-5005 — (423) 496-9214

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1177888 (TX)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 17242 (TN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN129463NP (GA)

Record details

NPI number1164518502
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing addressPo Box 844658, Suite B, Dallas, TX 75284-4658

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mahmood A Siddiqui Md Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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