Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LARS STEPHENSON AGNP
NPI 1639805617
Nurse Practitioner - Primary Care in Raleigh, NC

Active since August 01, 2022PECOS EnrolledAccepts Medicare Assignment
200 SWINBURNE STREET, RALEIGH, NC 27610(919) 250-1120 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2026, Sep 28, 2022, Aug 4, 2022 (3 updates tracked since 2022).

About Lars Stephenson Agnp NPPES

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

LARS STEPHENSON AGNP (NPI 1639805617) is an individual primary care provider in Raleigh, North Carolina, licensed in North Carolina (5016630) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2022).

NPPES Registry Identity

NPI1639805617
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameLARS STEPHENSONCredential: AGNP
Location Address200 SWINBURNE STREETRaleigh, NC 27610
Mailing Address200 Swinburne StreetRaleigh, NC 27610 · (919) 250-1120
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2022
Enumeration DateAugust 1, 2022
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1639805617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in NC · 5016630
200 SWINBURNE STREET, Raleigh, NC 27610

Accepted 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

Lars Stephenson Agnp 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 ID42687246
PECOS Enrollment IDI20260121001238
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 2

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

Nurse Practitioner (Family)
200 SWINBURNE STREET
RALEIGH, NC 27610
Advanced Practice Midwife
200 SWINBURNE STREET
RALEIGH, NC 27610

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 Lars Stephenson's NPI number?

The NPI number for Lars Stephenson is 1639805617. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Lars Stephenson located?

Lars Stephenson practices at 200 Swinburne Street, Raleigh, NC 27610. The listed phone number is (919) 250-1120.

What is Lars Stephenson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Lars Stephenson enrolled in Medicare?

Yes. Lars Stephenson 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.

What insurance does Lars Stephenson accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Lars Stephenson 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 Lars Stephenson was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.