STACI ANTAYA BA, BSN, MSN, FNP
NPI 1396555652
Nurse Practitioner - Family in Medford, OR

Q: What is Staci Antaya's NPI number?

The NPI number for Staci Antaya is 1396555652. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Q: What is Staci Antaya'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 Staci Antaya was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 January 09, 2025PECOS EnrolledAccepts Medicare Assignment

3617 S PACIFIC HWY, MEDFORD, OR 97501(541) 535-6239 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 1, 2025, Jan 9, 2025 (2 updates tracked since 2025).

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About Staci Antaya Ba, Bsn, Msn, Fnp NPPES

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

STACI ANTAYA BA, BSN, MSN, FNP (NPI 1396555652) is an individual family provider in Medford, Oregon, licensed in Oregon (10038520) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Asante Rogue Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396555652

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACI ANTAYACredential: BA, BSN, MSN, FNP

Location Address3617 S PACIFIC HWYMedford, OR 97501-8957

Mailing Address931 Chevy WayMedford, OR 97504-4127 · (541) 690-3555

Phone(541) 535-6239

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 9, 2025

Last NPPES UpdateApril 1, 20252 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1396555652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · 10038520

Also ListedRegistered NurseTaxonomy 163W00000X · License 200540315RN (OR)

3617 S PACIFIC HWY, Medford, OR 97501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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 and accepts Medicare assignment

Staci Antaya Ba, Bsn, Msn, Fnp 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 ID2466972682

PECOS Enrollment IDI20250218003611

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.

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380018

Location2825 E Barnett RoadMedford, OR 97504 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97501 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 20

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

TAMARA JOY CHAMBERS APRN, FNP-C

Nurse Practitioner (Family)