Kynnera Stephenson, AGPCNP-BC in Tacoma, WA - Medicare Nurse Practitioner

Kynnera Stephenson, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" in Tacoma, Washington. Her current practice location is 7808 Pacific Ave Ste 4, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 474-3329.

Kynnera Stephenson is licensed to practice in Washington (license number AP61507659) 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 1679349401.

Contact Information

	Kynnera Stephenson, AGPCNP-BC
	7808 Pacific Ave Ste 4, Tacoma, WA 98408-7039
	(253) 474-3329
	Not Available

Map and Direction

Provider's Profile

Full Name	Kynnera Stephenson
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	7808 Pacific Ave Ste 4, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679349401
Provider Enumeration Date: 12/04/2023
Last Update Date: 12/11/2023

Medicare PECOS Information:

PECOS PAC ID: 2567804453
Enrollment ID: I20240523001136

Medical Identifiers

Medical identifiers for Kynnera Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679349401	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP61507659 (Washington)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP61507659 (Washington)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	AP61507659 (Washington)	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. Kynnera Stephenson allows following entities to bill medicare on her behalf.

Entity Name	Womens Holistic Medical Weight Loss Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467107508 PECOS PAC ID: 4284019563 Enrollment ID: O20220922002832

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. Kynnera 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 Address	Practice Location Address
Kynnera Stephenson, AGPCNP-BC 1913 S Ainsworth Ave, Tacoma, WA 98405-3108 Ph: (253) 468-6524	Kynnera Stephenson, AGPCNP-BC 7808 Pacific Ave Ste 4, Tacoma, WA 98408-7039 Ph: (253) 474-3329

Reviews and Comments

Nurse Practitioner Nurses in Tacoma, WA

Salome Odja Dockendorf, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402 Phone: 812-870-6728
Barbara L Kapuscinski, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2751
Ms. Christine J. Larsen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3580 Pacific Ave, Tacoma, WA 98418 Phone: 253-798-4500 Fax: 253-798-4493
Rick Hahn, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000
Mrs. Kimberley Anne Burns, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1617 S J St, Tacoma, WA 98405 Phone: 253-274-7504
Randi Marie Berg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Reid St, Tacoma, WA 98431 Phone: 253-968-2315
Marlene I Bridgforth, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 S Cedar St, #301 Cardiac Study Center Inc Ps, Tacoma, WA 98405 Phone: 253-572-7320 Fax: 253-627-3191

Kynnera Stephenson, AGPCNP-BC - Medicare Nurse Practitioner in Tacoma, WA