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DR. KATHRYN MARIE STEVENSON MD
NPI 1427055086
Pediatrics in Gardnerville, NV

Active since June 28, 2005PECOS Enrolled
1107 US HIGHWAY 395 N, GARDNERVILLE, NV 89410(775) 782-1695(775) 782-1558 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kathryn Marie Stevenson Md NPPES

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

DR. KATHRYN MARIE STEVENSON MD (NPI 1427055086) is an individual pediatrics provider in Gardnerville, Nevada, licensed in Nevada (10544) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427055086
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KATHRYN MARIE STEVENSONCredential: MD
Location Address1107 US HIGHWAY 395 NGardnerville, NV 89410-5304
Mailing Address1111 Emerald Bay RdSouth Lake Tahoe, CA 96150-6207 · (530) 543-5979 · Fax (530) 541-8723
Phone(775) 782-1695
Fax(775) 782-1558
Sole ProprietorNo
Enumeration DateJune 28, 2005
Last NPPES UpdateDecember 15, 2021
✔ NPI 1427055086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NV · 10544
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1107 US HIGHWAY 395 N, Gardnerville, NV 89410
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Other Identifiers 3

Medicaid100505467NV
MedicaidXPY202245CA
Medicaid100506479NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathryn Marie Stevenson Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Stevenson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
106 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89410 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

WENDY HALL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1107 US HIGHWAY 395 N
GARDNERVILLE, NV 89410
Douglas County (775) 782-1630
WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATION
Community/Behavioral Health
1107 US HIGHWAY 395 N
GARDNERVILLE, NV 89410
Douglas County (775) 782-1630
QSMEDICO INC
Internal Medicine
1107 US HIGHWAY 395 N
GARDNERVILLE, NV 89410
Douglas County (702) 453-3799
MCFARLANE MEDICAL CLINIC
Specialist
1107 US HIGHWAY 395 N, STE D
GARDNERVILLE, NV 89410
Douglas County (775) 782-0055
JOSEPH AKWASI BOATENG MD
Hospitalist
1107 US HIGHWAY 395 N
GARDNERVILLE, NV 89410
Douglas County (775) 782-1500
WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATION
Medicare Defined Swing Bed Unit
1107 US HIGHWAY 395 N
GARDNERVILLE, NV 89410
Douglas County (775) 782-1500
CAREN GLEAVE RN, RNFA, CNOR
Registered Nurse (Registered Nurse First Assistant)
1107 US HIGHWAY 395 N
GARDNERVILLE, NV 89410
Douglas County (775) 782-1500
THAIS SIERRA PACIFIC PC
Internal Medicine
1107 US HIGHWAY 395 N
GARDNERVILLE, NV 89410
Douglas County (702) 453-3799

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 Kathryn Stevenson's NPI number?

The NPI number for Kathryn Stevenson is 1427055086. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Kathryn Stevenson located?

Kathryn Stevenson practices at 1107 Us Highway 395 N, Gardnerville, NV 89410. The listed phone number is (775) 782-1695.

What is Kathryn Stevenson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kathryn Stevenson enrolled in Medicare?

Yes. Kathryn Stevenson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Stevenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Stevenson reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Kathryn Stevenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathryn Stevenson was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.