SHASTA M STEPHENS AGACNP
NPI 1417312315
Nurse Practitioner in Medford, OR
About Shasta M Stephens Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHASTA M STEPHENS AGACNP (NPI 1417312315) is an individual nurse practitioner in Medford, Oregon, licensed in California (95006534) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cody, and is a graduate of George Washington University School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shasta M Stephens Agacnp 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.
Medicare Billing Reassignments
8Medicare enrollment records show Shasta Stephens reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fall River Mills, CA 96028
- Reassigned Medicare billing, California enrollment
- 53 clinicians in this Medicare group
Sacramento, CA 95817
- Reassigned Medicare billing, California enrollment
- 2,570 clinicians in this Medicare group
Fair Oaks, CA 95628
- Reassigned Medicare billing, California enrollment
- 36 clinicians in this Medicare group
El Dorado Hills, CA 95762
- Reassigned Medicare billing, California enrollment
- 152 clinicians in this Medicare group
Mariposa, CA 95338
- Reassigned Medicare billing, California enrollment
- 28 clinicians in this Medicare group
Cody, WY 82414
- Reassigned Medicare billing, Wyoming enrollment
- 181 clinicians in this Medicare group
Knoxville, TN 37922
- Reassigned Medicare billing, California enrollment
- 23 clinicians in this Medicare group
Rochester, NY 14624
- Reassigned Medicare billing, New York enrollment
- 185 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MEDFORD, OR 97504
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 Shasta Stephens's NPI number?
The NPI number for Shasta Stephens is 1417312315. It was assigned to this individual provider in the NPPES registry on December 18, 2015.
Where is Shasta Stephens located?
Shasta Stephens practices at 1111 Crater Lake Ave, Medford, OR 97504. The listed phone number is (541) 732-5545.
What is Shasta Stephens's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shasta Stephens enrolled in Medicare?
Yes. Shasta Stephens 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.
Which organizations bill Medicare for Shasta Stephens's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shasta Stephens reassigns Medicare benefits to 8 organizations: Mayers Memorial Hospital District (Fall River Mills, CA), Regents Of The Univ Of Ca (Sacramento, CA), Chandan Ds Cheema MD Inc (Fair Oaks, CA), Marshall Medical Center (El Dorado Hills, CA), Erx Plus Professional Corporation (Mariposa, CA) and 3 more organizations, listed in the Medicare section above. 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 Shasta Stephens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shasta Stephens accept?
Health plans from Blue Cross Blue Shield of Wyoming list Shasta 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 Shasta Stephens was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Shasta M Stephens, AGACNP · NPI 1417312315
Nurse Practitioner physician in Medford, Oregon. Individual provider, active in the CMS NPPES registry since December 18, 2015.
## Identity
- **NPI:** 1417312315 (Entity type: Individual)
- **Enumerated:** December 18, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95006534 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 CRATER LAKE AVE, Medford, OR 97504-6241
- **Phone:** (541) 732-5545 · **Fax:** (541) 732-5548
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Mayers Memorial Hospital District (NPI 1912125667, Fall River Mills, CA); Regents Of The Univ Of Ca (NPI 1285068783, Sacramento, CA); Chandan Ds Cheema MD Inc (NPI 1598965667, Fair Oaks, CA); Marshall Medical Center (NPI 1114727377, El Dorado Hills, CA); Erx Plus Professional Corporation (NPI 1336508407, Mariposa, CA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** July 30, 2025
- **Other identifiers:** Medicaid 500786244 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1417312315) · Data from the CMS NPPES public registry.