Ms Stephenie Hargrove, NP in Clearlake, CA - Medicare Nurse Practitioner

Ms Stephenie Hargrove, NP is a medicare enrolled "Nurse Practitioner - Family" in Clearlake, California. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Adventist Health Clearlake Hospital Inc. and her current practice location is 15630 18th Ave, Clearlake, California. You can reach out to her office (for appointments etc.) via phone at (707) 994-6486.

Ms Stephenie Hargrove is licensed to practice in California (license number 95012363) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053927608.

Contact Information

	Ms Stephenie Hargrove, NP
	15630 18th Ave, Clearlake, CA 95422-9336
	(707) 994-6486
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Stephenie Hargrove
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	15630 18th Ave, Clearlake, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Stephenie Hargrove graduated from nursing school in 2018

NPI Data:

NPI Number: 1053927608
Provider Enumeration Date: 09/18/2020
Last Update Date: 09/18/2020

Medicare PECOS Information:

PECOS PAC ID: 6305244369
Enrollment ID: I20211006001829

Medical Identifiers

Medical identifiers for Ms Stephenie Hargrove such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053927608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95012363 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Clearlake	Clearlake, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Adventist Health Clearlake Hospital Inc.	3072421197	81

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. Ms Stephenie Hargrove allows following entities to bill medicare on her behalf.

Entity Name	Lake County Tribal Health Consortium Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323

Entity Name	Adventist Health Clearlake Hospital Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573

Entity Name	Adventist Health Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633

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. Ms Stephenie Hargrove 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
Ms Stephenie Hargrove, NP 19947 Mountain Mdw N, Hidden Valley Lake, CA 95467-8546 Ph: (615) 693-0403	Ms Stephenie Hargrove, NP 15630 18th Ave, Clearlake, CA 95422-9336 Ph: (707) 994-6486

Reviews and Comments

Nurse Practitioner Nurses in Clearlake, CA

Martina Sara Cordova, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486
Ms. Katherine Robin Willems, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500
Ann C Larocca, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500
Ciaran George Carroll, FNP, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-2400
Mr. Rommel B Gayagoy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500
Prof. Sharon K Larock, CNN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-5741

Ms Stephenie Hargrove, NP - Medicare Nurse Practitioner in Clearlake, CA