Kelli Dean Stephenson, FNP-C - Medicare Advanced Practice Midwife in Memphis, TN

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Kelli Dean Stephenson, FNP-C is a medicare enrolled "Advanced Practice Midwife" in Memphis, Tennessee. Her current practice location is 2500 Peres Ave, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 515-5500.

Kelli Dean Stephenson is licensed to practice in Tennessee (license number 33371) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780989772.

Contact Information

Kelli Dean Stephenson, FNP-C
2500 Peres Ave,
Memphis, TN 38108-1660
(901) 515-5500
(901) 458-5591

Map and Direction




Provider's Profile

Full NameKelli Dean Stephenson
GenderFemale
SpecialityAdvanced Practice Midwife
Location2500 Peres Ave, Memphis, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780989772
  • Provider Enumeration Date: 01/21/2011
  • Last Update Date: 03/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7214115690
  • Enrollment ID: I20190621000813

Medical Identifiers

Medical identifiers for Kelli Dean Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780989772NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 33371 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 201394741NP-PP (Oregon)Secondary
363LF0000XNurse Practitioner - Family AP60494710 (Washington)Secondary
363LX0001XNurse Practitioner - Obstetrics & Gynecology 201800264NP-PP (Oregon)Secondary
367A00000XAdvanced Practice Midwife 201800264NP-PP (Oregon)Secondary
367A00000XAdvanced Practice Midwife 33371 (Tennessee)Primary

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. Kelli Dean Stephenson allows following entities to bill medicare on her behalf.
Entity NameGood Shepherd Health Care System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295789667
PECOS PAC ID: 9133033764
Enrollment ID: O20031118000046

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. Kelli Dean Stephenson 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
Kelli Dean Stephenson, FNP-C
877 Jefferson Avenue, Attn: Provider Enrollment,
Memphis, TN 38103-2807

Ph: (015) 456-2869		Kelli Dean Stephenson, FNP-C
2500 Peres Ave,
Memphis, TN 38108-1660

Ph: (901) 515-5500

Reviews and Comments


Advanced Practice Midwife Nurses in Memphis, TN

Amy L Devore, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Peres Ave, Memphis, TN 38108
Phone: 901-515-5500    Fax: 901-458-5591
Nekea Alyse Smith, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1203 Poplar Ave, Memphis, TN 38104
Phone: 901-274-3550    
Alexis Dunn Amore, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1203 Poplar Ave, Memphis, TN 38104
Phone: 901-274-3550    
Edna Marie Lewis, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 880 Madison Ave, Memphis, TN 38103
Phone: 901-515-3800    Fax: 901-302-2491
Kemetra Shen'ee King, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1726 Poplar Ave, Memphis, TN 38104
Phone: 901-274-3550    
Angel Nashae Street,
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1203 Poplar Ave, Memphis, TN 38104
Phone: 901-274-3550    
Mrs. Amanda Lynn Williams, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 880 Madison Ave, Memphis, TN 38103
Phone: 901-515-3800    Fax: 901-302-2491

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.