STEPHANIE SHAVONEE' NASH NP
NPI 1104375120
Nurse Practitioner - Family in Oklahoma City, OK

Q: What is Stephanie Nash's NPI number?

The NPI number for Stephanie Nash is 1104375120. It was assigned to this individual provider in the NPPES registry on October 3, 2016.

Q: What is Stephanie Nash's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephanie Nash was last updated on July 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 03, 2016PECOS Enrolled

921 NE 13TH ST, OKLAHOMA CITY, OK 73104(405) 456-1000 Get Directions Write a Review

NPPES record last updated: July 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2018, Dec 29, 2016 (2 updates tracked since 2016).

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About Stephanie Shavonee' Nash Np NPPES

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

STEPHANIE SHAVONEE' NASH NP (NPI 1104375120) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (89403) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104375120

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTEPHANIE SHAVONEE' NASHCredential: NP

Location Address921 NE 13TH STOklahoma City, OK 73104

Mailing Address2420 Nw 154th StEdmond, OK 73013-8969

Phone(405) 456-1000

Sole ProprietorNo

Enumeration DateOctober 3, 2016

Last NPPES UpdateJuly 21, 20182 updates tracked since enumeration

✔ NPI 1104375120 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 OK · 89403

921 NE 13TH ST, Oklahoma City, OK 73104

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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 (PECOS)

Stephanie Shavonee' Nash Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 73104 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

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.

DR. JENNIFER KATHLEEN HINKLE MD

Radiology (Diagnostic Radiology)