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STEPHANIE IWALANI DOLAN PNP
NPI 1114361110
Nurse Practitioner - Pediatrics in Redmond, OR

Active since April 20, 2013PECOS Enrolled
1314 SW KALAMA AVE, REDMOND, OR 97756(541) 923-5800(541) 383-1883 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, May 30, 2017, Jan 6, 2017 (3 updates tracked since 2017).

About Stephanie Iwalani Dolan Pnp NPPES

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

STEPHANIE IWALANI DOLAN PNP (NPI 1114361110) is an individual pediatrics provider in Redmond, Oregon, licensed in Oregon (201609258NP-PP) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114361110
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSTEPHANIE IWALANI DOLANCredential: PNP
Location Address1314 SW KALAMA AVERedmond, OR 97756-3054
Mailing Address600 Sw Columbia St, Suite 6210Bend, OR 97702-1099 · (541) 383-3005
Phone(541) 923-5800
Fax(541) 383-1883
Sole ProprietorNo
Enumeration DateApril 20, 2013
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1114361110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OR · 201609258NP-PP
1314 SW KALAMA AVE, Redmond, OR 97756
Open in Google Maps ↗

Other Names 1

Former Name (1)Stephanie Iwalani Rivera

Other Identifiers 1

Medicaid500718029OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Iwalani Dolan Pnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Dolan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke Health Integrated Practice, Inc.
2,201 mi
Family Medicine
131 MEDICAL PARK RD STE 302
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1760288633 (704) 660-4750

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 97756 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 3

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

DEBBIE WILLIAMS
Speech-Language Pathologist
1314 SW KALAMA AVE
REDMOND, OR 97756
Deschutes County (541) 923-4876
KRISTI LYNN PENTZER CCC-SLP
Speech-Language Pathologist
1314 SW KALAMA AVE
REDMOND, OR 97756
Deschutes County (541) 923-4876
KAILYNN KITAJI
Social Worker (Clinical)
1314 SW KALAMA AVE
REDMOND, OR 97756
Deschutes County (541) 322-7500

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 Stephanie Dolan's NPI number?

The NPI number for Stephanie Dolan is 1114361110. It was assigned to this individual provider in the NPPES registry on April 20, 2013. The provider is also known as Stephanie Iwalani Rivera.

Where is Stephanie Dolan located?

Stephanie Dolan practices at 1314 SW Kalama Ave, Redmond, OR 97756. The listed phone number is (541) 923-5800.

What is Stephanie Dolan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Stephanie Dolan enrolled in Medicare?

Yes. Stephanie Dolan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Dolan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Dolan reassigns Medicare benefits to Duke Health Integrated Practice, Inc. (Mooresville, NC). The 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 Stephanie Dolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Dolan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Stephanie Dolan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Dolan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.