SHASTA M STEPHENS AGACNP
NPI 1417312315
Nurse Practitioner in Medford, OR

Q: 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.

Q: What is Shasta Stephens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: 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 13 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 December 18, 2015PECOS EnrolledAccepts Medicare Assignment

1111 CRATER LAKE AVE, MEDFORD, OR 97504(541) 732-5545(541) 732-5548 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 15, 2023, Oct 13, 2021, Nov 30, 2020 and 1 more (4 updates tracked since 2015).

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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, is affiliated with Cody Regional Health, and maintains a secondary practice location in Cody.

NPPES Registry Identity

NPI1417312315

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHASTA M STEPHENSCredential: AGACNP

Location Address1111 CRATER LAKE AVEMedford, OR 97504-6241

Mailing Address6608 Mercy Ct Ste BFair Oaks, CA 95628-3171 · (916) 241-9844

Phone(541) 732-5545

Fax(541) 732-5548

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2017

Enumeration DateDecember 18, 2015

Last NPPES UpdateJuly 30, 20254 updates tracked since enumeration

NPPES CertifiedJuly 30, 2025

✔ NPI 1417312315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95006534

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 55653 (WY), 202010137NP-PP (OR)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 307579 (NY)

1111 CRATER LAKE AVE, Medford, OR 97504

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Secondary Practice Location 1

Location 1707 Sheridan AveCody, WY 82414-3409 · Phone (307) 527-7501

Other Identifiers 1

Medicaid500786244OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica, UnitedHealthcare.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

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.

PECOS PAC ID1254638828

PECOS Enrollment IDI20170628001200, I20241210003481

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.

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.

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

41 services40 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

29 services21 patients

Hospital Affiliations CMS Care Compare

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

Cody Regional Health

Critical Access Hospitals · Cody, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531312

Location707 Sheridan AvenueCody, WY 82414 · Park County

Emergency services

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.

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.

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.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers11 claims11 services$5.66 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PROVIDENCE HOSPITALISTS & INTENSIVISTS

Internal Medicine (Critical Care Medicine)