Shasta M Stephens, AGACNP in Medford, OR - Medicare Nurse Practitioner

Shasta M Stephens, AGACNP is a medicare enrolled "Nurse Practitioner" in Medford, Oregon. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Foundation and her current practice location is 1111 Crater Lake Ave, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 732-5545.

Shasta M Stephens is licensed to practice in California (license number 95006534) 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 1417312315.

Contact Information

	Shasta M Stephens, AGACNP
	1111 Crater Lake Ave, Medford, OR 97504-6241
	(541) 732-5545
	(541) 732-5548

Map and Direction

Provider's Profile

Full Name	Shasta M Stephens
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1111 Crater Lake Ave, Medford, Oregon
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:

Shasta M Stephens graduated from nursing school in 2017

NPI Data:

NPI Number: 1417312315
Provider Enumeration Date: 12/18/2015
Last Update Date: 03/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1254638828
Enrollment ID: I20170628001200

Medical Identifiers

Medical identifiers for Shasta M Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417312315	NPI	-	NPPES
500786244	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	202010137NP-PP (Oregon)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	307579 (New York)	Secondary
363L00000X	Nurse Practitioner	95006534 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Queen Of The Valley Medical Center	Napa, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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. Shasta M Stephens allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	Chandan Ds Cheema Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598965667 PECOS PAC ID: 2264533637 Enrollment ID: O20070730000331

Entity Name	Erx Plus Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336508407 PECOS PAC ID: 6800192428 Enrollment ID: O20220928003168

Entity Name	Erx Hospitalist Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699199562 PECOS PAC ID: 6608009279 Enrollment ID: O20221113000053

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. Shasta M Stephens 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
Shasta M Stephens, AGACNP 6608 Mercy Ct Ste B, Fair Oaks, CA 95628-3171 Ph: (916) 241-9844	Shasta M Stephens, AGACNP 1111 Crater Lake Ave, Medford, OR 97504-6241 Ph: (541) 732-5545

Reviews and Comments

Nurse Practitioner Nurses in Medford, OR

Carla Ann Cochran, NP-C, FNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Dr., Suite 300, Medford, OR 97504 Phone: 903-463-0003
Christine Ann Stanek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2859 State Street, Suite 101, Medford, OR 97504 Phone: 541-282-6505 Fax: 541-282-6520
Lena Lori Varner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820
Mrs. Lauren E Hodgdon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 Phone: 541-732-5537
Kaitlin Eileen Stapleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 State St, Medford, OR 97504 Phone: 541-779-1672
Elizabeth L Pethtel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3170 State St, Medford, OR 97504 Phone: 541-864-8900 Fax: 541-245-3315
Matthew Filoon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 E Barnett Rd, Medford, OR 97504 Phone: 541-789-4673 Fax: 541-789-2121

Shasta M Stephens, AGACNP - Medicare Nurse Practitioner in Medford, OR