DR. SHANEEN DIANE STACER PHD
NPI 1427485440
Psychologist - Clinical in Coos Bay, OR

Q: What is Shaneen Stacer's NPI number?

The NPI number for Shaneen Stacer is 1427485440. It was assigned to this individual provider in the NPPES registry on October 4, 2013. The provider is also known as Dr. Shaneen Diane Meskew Phd.

Q: What is Shaneen Stacer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Shaneen Stacer was last updated on September 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 04, 2013PECOS Enrolled

1900 WOODLAND DR, COOS BAY, OR 97420(541) 267-5151(541) 266-4554 Get Directions Write a Review

NPPES record last updated: September 8, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Shaneen Diane Stacer Phd NPPES

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

DR. SHANEEN DIANE STACER PHD (NPI 1427485440) is an individual clinical provider in Coos Bay, Oregon, licensed in Oregon (2500) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427485440

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SHANEEN DIANE STACERCredential: PHD

Location Address1900 WOODLAND DRCoos Bay, OR 97420-2045

Mailing Address1900 Woodland DrCoos Bay, OR 97420-2045 · (541) 267-5151 · Fax (541) 266-4554

Phone(541) 267-5151

Fax(541) 266-4554

Sole ProprietorNo

Enumeration DateOctober 4, 2013

Last NPPES UpdateSeptember 8, 2016

✔ NPI 1427485440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in OR · 2500✔ Licensed in WI · 3079-57

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 3079-57 (WI)

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 3079-57 (WI)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 3079-57 (WI)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 3079-57 (WI)

Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 3079-57 (WI)

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 3079-57 (WI)

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 3079-57 (WI)

1900 WOODLAND DR, Coos Bay, OR 97420

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Other Names 1

Other Name (5)Dr. Shaneen Diane Meskew Phd

Other Identifiers 5

Other161133OR · North Bend Medical Center Group Medicaid

Medicaid500684206OR

Other1407812365OR · North Bend Medical Center Group Npi

Medicare PINR180416OR

OtherR0000WFBTVOR · North Bend Medical Center Group Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shaneen Diane Stacer Phd 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 Shaneen Stacer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Bend Medical Center Inc

Same address

Diagnostic Radiology

1900 WOODLAND DR
Coos Bay, OR 97420

Reassigned Medicare billing, Oregon enrollment
220 clinicians in this Medicare group

NPI 1063428308 (541) 267-5151

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 97420 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

$166.64 typical visit price

range $54.96 – $166.64

Typical copayment $41.66 (range $13.74 – $41.66)

Most-billed visit code 99205

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.

CAITLIN O'REILLY

Physical Therapist

1900 WOODLAND DR
COOS BAY, OR 97420

Coos County (541) 267-5151

CHLOE NICOLE LEIBY PT, DPT

Physical Therapist

1900 WOODLAND DR
COOS BAY, OR 97420

Coos County (541) 267-5151

BHAVANI PEDDAGOVINDU MD

Internal Medicine

1900 WOODLAND DR
COOS BAY, OR 97420

Coos County (541) 267-5151

DR. MAYNIKA VANI RASTOGI MD

Pediatrics

1900 WOODLAND DR
COOS BAY, OR 97420

Coos County (541) 267-5151

LISA M BOYLE RPH

Pharmacist

1900 WOODLAND DR, SUITE A
COOS BAY, OR 97420

Coos County (541) 267-4815

SHARON ELAINE MONSIVAIS M.D.

Surgery (Plastic and Reconstructive Surgery)

1900 WOODLAND DR
COOS BAY, OR 97420

Coos County (541) 267-5151

DR. DONNA LEE RABIN MD

Pediatrics

1900 WOODLAND DR
COOS BAY, OR 97420

Coos County (541) 267-5151

MR. GREGORY SOPKA PA

Physician Assistant

1900 WOODLAND DR
COOS BAY, OR 97420

Coos County (541) 267-5151

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 Shaneen Stacer's NPI number?

The NPI number for Shaneen Stacer is 1427485440. It was assigned to this individual provider in the NPPES registry on October 4, 2013. The provider is also known as Dr. Shaneen Diane Meskew Phd.

Where is Shaneen Stacer located?

Shaneen Stacer practices at 1900 Woodland Dr, Coos Bay, OR 97420. The listed phone number is (541) 267-5151.

What is Shaneen Stacer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Shaneen Stacer enrolled in Medicare?

Yes. Shaneen Stacer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shaneen Stacer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaneen Stacer reassigns Medicare benefits to North Bend Medical Center Inc (Coos Bay, OR). 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 Shaneen Stacer'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 Shaneen Stacer was last updated on September 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.