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SHANE STEPHENS
NPI 1285117606
Nurse Practitioner - Psychiatric/Mental Health in Johnson City, TN

Active since September 11, 2018PECOS Enrolled
701 MED TECH PKWY, JOHNSON CITY, TN 37604(423) 302-3480(423) 833-0639 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shane Stephens NPPES

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

SHANE STEPHENS (NPI 1285117606) is an individual psychiatric/mental health provider in Johnson City, Tennessee, licensed in Tennessee (24695) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Kingsport.

NPPES Registry Identity

NPI1285117606
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSHANE STEPHENS
Location Address701 MED TECH PKWYJohnson City, TN 37604-2365
Mailing Address7032 Robinette Valley RdDuffield, VA 24244-2979 · (828) 551-5679
Phone(423) 302-3480
Fax(423) 833-0639
Sole ProprietorYes
Enumeration DateSeptember 11, 2018
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1285117606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TN · 24695
701 MED TECH PKWY, Johnson City, TN 37604
Open in Google Maps ↗

Secondary Practice Location 1

Location 11025 Executive Park BlvdKingsport, TN 37660-4620 · Phone (833) 370-7433

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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)

Shane Stephens 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 Reassignments

4

Medicare enrollment records show Shane Stephens reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellmont Medical Associates, Inc.
Same address
Psychiatry
701 MED TECH PKWY STE 200
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1275393522 (423) 302-3480
Medpsych Inc. PC
16 mi
Specialist
1025 EXECUTIVE PARK BLVD
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 24 clinicians in this Medicare group
NPI 1962828137 (423) 830-8110
Sbh-Kingsport
16 mi
Psychiatric Hospital
1025 EXECUTIVE PARK BLVD
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 31 clinicians in this Medicare group
NPI 1174038749 (901) 969-3100
Sbh-Davenport, LLC
566 mi
Adult Mental Health
770 TANGLEFOOT LN
Bettendorf, IA 52722
  • Reassigned Medicare billing, Iowa enrollment
  • 21 clinicians in this Medicare group
NPI 1023817475 (563) 396-2100

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 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

ALLIANCE ANESTHESIA PLLC
Nurse Anesthetist, Certified Registered
701 MED TECH PKWY, SUITE 300
JOHNSON CITY, TN 37604
Washington County (615) 620-2320
AMBER PRESTON BUTLER FNP
Nurse Practitioner (Family)
701 MED TECH PKWY, SUITE 300
JOHNSON CITY, TN 37604
Washington County (423) 232-8301
MR. WESLEY EUGENE PERRY PA
Physician Assistant (Surgical)
701 MED TECH PKWY, SUITE 300
JOHNSON CITY, TN 37604
Washington County (423) 232-8301
CATHERINE MOYER DPT
Physical Therapist
701 MED TECH PKWY, SUITE 301
JOHNSON CITY, TN 37604
Washington County (423) 232-8302
BAILEY ELIZABETH QUALLS PA-C
Physician Assistant
701 MED TECH PKWY, SUITE 300
JOHNSON CITY, TN 37604
Washington County (423) 232-8301
HOLLY WHITT
Physical Therapist
701 MED TECH PKWY, SUITE 301
JOHNSON CITY, TN 37604
Washington County (615) 373-1350
EAST TENNESSEE ANESTHESIA SERVICES, PLLC
Anesthesiology
701 MED TECH PKWY
JOHNSON CITY, TN 37604
Washington County (423) 283-7302
CALLEN KYTE LCSW
Social Worker (Clinical)
701 MED TECH PKWY
JOHNSON CITY, TN 37604
Washington County (423) 431-7004

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 Shane Stephens's NPI number?

The NPI number for Shane Stephens is 1285117606. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Shane Stephens located?

Shane Stephens practices at 701 Med Tech Pkwy, Johnson City, TN 37604. The listed phone number is (423) 302-3480.

What is Shane Stephens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shane Stephens enrolled in Medicare?

Yes. Shane Stephens is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shane Stephens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Stephens reassigns Medicare benefits to 4 organizations: Wellmont Medical Associates, Inc. (Johnson City, TN), Medpsych Inc. PC (Kingsport, TN), Sbh-Kingsport (Kingsport, TN) and Sbh-Davenport, LLC (Bettendorf, IA). 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 Shane Stephens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Stephens accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Shane Stephens 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 Shane Stephens was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.