MS. STEPHENIE HARGROVE NP
NPI 1053927608
Nurse Practitioner - Family in Clearlake, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Stephenie Hargrove reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clearlake, CA 95422
- Reassigned Medicare billing, California enrollment
- 182 clinicians in this Medicare group
Clearlake, CA 95422
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Lake County Tribal Health Consortium Inc
- 59 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
CLEARLAKE, CA 95422
CLEARLAKE, CA 95422
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.
Which organizations bill Medicare for Stephenie Hargrove's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephenie Hargrove reassigns Medicare benefits to 2 organizations: Adventist Health Clearlake Hospital Inc. (Clearlake, CA) and Lake County Tribal Health Southshore Clinic (Clearlake, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephenie Hargrove's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Ms. Stephenie Hargrove, NP · NPI 1053927608
Family physician in Clearlake, California. Individual provider, active in the CMS NPPES registry since September 18, 2020.
## Identity
- **NPI:** 1053927608 (Entity type: Individual)
- **Enumerated:** September 18, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95012363 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 15630 18TH AVE, Clearlake, CA 95422-9336
- **Phone:** (707) 994-6486
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Adventist Health Clearlake Hospital Inc. (NPI 1124018031, Clearlake, CA); Lake County Tribal Health Southshore Clinic (NPI 1063158038, Clearlake, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 18, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1053927608) · Data from the CMS NPPES public registry.