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MS. STEPHENIE HARGROVE NP
NPI 1053927608
Nurse Practitioner - Family in Clearlake, CA

Active since September 18, 2020PECOS EnrolledAccepts Medicare Assignment
15630 18TH AVE, CLEARLAKE, CA 95422(707) 994-6486 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Stephenie Hargrove Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STEPHENIE HARGROVE NP (NPI 1053927608) is an individual family provider in Clearlake, California, licensed in California (95012363) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053927608
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. STEPHENIE HARGROVECredential: NP
Location Address15630 18TH AVEClearlake, CA 95422-9336
Mailing Address19947 Mountain Mdw NHidden Valley Lake, CA 95467-8546 · (615) 693-0403
Phone(707) 994-6486
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 18, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1053927608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95012363
15630 18TH AVE, Clearlake, CA 95422
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Stephenie Hargrove Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305244369
PECOS Enrollment IDI20211006001829
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims14 services$107.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KONOCTI EMERGENCY PHYSICIANS
Emergency Medicine
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (707) 994-6486
JOHN CLARKE
Anesthesiology
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (707) 994-6486
JOHN VIDRIH M.D.
Hospitalist
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (707) 994-6486
DR. JOHN A MURASKI JR. MD PHD
Emergency Medicine
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (707) 994-6486
PALLIATIVE CARE CONSULTANTS OF CALIFORNIA A MEDICAL CORPORATION
Internal Medicine (Hospice and Palliative Medicine)
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (805) 522-2500
MARTINA SARA CORDOVA FNP
Nurse Practitioner (Family)
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (707) 994-6486
ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
General Acute Care Hospital (Critical Access)
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (707) 994-6486
MEDICAL SPECIALISTS ASSOCIATES PC
Anesthesiology
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (707) 994-6486

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephenie Hargrove's NPI number?

The NPI number for Stephenie Hargrove is 1053927608. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Stephenie Hargrove located?

Stephenie Hargrove practices at 15630 18th Ave, Clearlake, CA 95422. The listed phone number is (707) 994-6486.

What is Stephenie Hargrove's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephenie Hargrove enrolled in Medicare?

Yes. Stephenie Hargrove is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephenie Hargrove was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.