TAMARA NICOLE UPCHURCH, AGPCNP-BC — NPI 1689487050 (Licensed & Credentialed Agencies — Hospice Care, Community Based in TEXARKANA, TX)

CMS-1500 Box 24J / 33a • NPI

1689487050

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

251G00000X (CMS B4[14])

Licensed & Credentialed Agencies — Hospice Care, Community Based

Box 32 Service Location & ZIP+4

5803 STONERIDGE DR, TEXARKANA, TX, 75503-1461

✓ 9-Digit EDI 837 ZIP+4 (75503-1461)

Practice Phone & Referral Fax

(888) 725-5422

Fax: (903) 501-1100

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1689487050 (TAMARA NICOLE UPCHURCH, AGPCNP-BC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1689487050` (NPI-1 Individual Practitioner)
Provider / Legal Name	TAMARA NICOLE UPCHURCH, AGPCNP-BC
Plain-English Specialty	Licensed & Credentialed Agencies — Hospice Care, Community Based NUCC Code: `251G00000X` (Hospice Care, Community Based)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	5803 STONERIDGE DR, TEXARKANA, TX, 75503-1461
Practice Telephone / Fax	Tel: (888) 725-5422 \| Fax: (903) 501-1100
Administrative Mailing Address	1125 COUNTY ROAD 1660, ALBA, TX, 75410-5522
Enumeration & Last Sync	Enumerated: 2025-01-29 \| CMS Record Updated: 2026-01-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5803 STONERIDGE DR, TEXARKANA, TX, 75503-1461

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Plain-English Taxonomy & CMS Crosswalk (251G00000X)

What Does Taxonomy Code 251G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251G00000X translates to:
"Licensed & Credentialed Agencies — Hospice Care, Community Based"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Hospice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Hospice Care, Community Based for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TAMARA NICOLE UPCHURCH, AGPCNP-BC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LG0600X` — Nurse Practitioner, Gerontology Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology	State: TX \| License: `1189550` \| Primary: Secondary
`251G00000X` — Hospice Care, Community Based Plain English: Licensed & Credentialed Agencies — Hospice Care, Community Based	State: TX \| License: `1189550` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TAMARA NICOLE UPCHURCH, AGPCNP-BC (NPI #1689487050)