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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Shane Stephens was last updated on March 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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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

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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 from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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 19

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

EAST TENNESSEE AMBULATORY SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

701 MED TECH PKWY
JOHNSON CITY, TN 37604

Washington County (423) 283-7302

MR. ISAAC NATHAN O'DELL PA

Physician Assistant (Surgical)