STEPHANIE MARIE BASHAM AGAC-NP
NPI 1356071328
Nurse Practitioner - Acute Care in Roanoke, VA

Active since June 13, 2022PECOS EnrolledAccepts Medicare Assignment
2001 CRYSTAL SPRING AVE SW STE 201, ROANOKE, VA 24014(540) 853-0100 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2022, Nov 2, 2022, Sep 30, 2022 (3 updates tracked since 2022).

About Stephanie Marie Basham Agac-np NPPES

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

STEPHANIE MARIE BASHAM AGAC-NP (NPI 1356071328) is an individual acute care provider in Roanoke, Virginia, licensed in Virginia (0024183788) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356071328
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSTEPHANIE MARIE BASHAMCredential: AGAC-NP
Location Address2001 CRYSTAL SPRING AVE SW STE 201Roanoke, VA 24014-2465
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5715
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 13, 2022
Last NPPES UpdateNovember 18, 20223 updates tracked since enumeration
NPPES CertifiedNovember 18, 2022
NPI 1356071328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in VA · 0024183788
2001 CRYSTAL SPRING AVE SW STE 201, Roanoke, VA 24014

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stephanie Marie Basham Agac-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.

PECOS PAC ID3971972571
PECOS Enrollment IDI20221202001472
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Physician Assistant (Surgical)
2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA 24014
Nurse Practitioner (Critical Care Medicine)
2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA 24014
Nurse Practitioner (Family)
2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA 24014
Nurse Practitioner (Acute Care)
2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA 24014
Nurse Practitioner (Family)
2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA 24014
Physician Assistant (Medical)
2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA 24014
Physician Assistant
2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA 24014
Nurse Practitioner (Acute Care)
2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA 24014

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 Basham's NPI number?

The NPI number for Stephanie Basham is 1356071328. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Stephanie Basham located?

Stephanie Basham practices at 2001 Crystal Spring Ave SW Ste 201, Roanoke, VA 24014. The listed phone number is (540) 853-0100.

What is Stephanie Basham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Stephanie Basham enrolled in Medicare?

Yes. Stephanie Basham 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.

Is Stephanie Basham affiliated with any hospitals?

According to CMS data, Stephanie Basham is affiliated with Carilion Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Basham was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.