KIMBERLLY JOY STEVENS FNP
NPI 1851828511
Nurse Practitioner - Family in Myrtle Creek, OR
About Kimberlly Joy Stevens Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLLY JOY STEVENS FNP (NPI 1851828511) is an individual family provider in Myrtle Creek, Oregon, licensed in Oregon (201703307NP-PP) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
Kimberlly Joy Stevens Fnp 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
2Medicare enrollment records show Kimberlly Stevens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Myrtle Creek, OR 97457
- Reassigned Medicare billing, Oregon enrollment
- 61 clinicians in this Medicare group
Roseburg, OR 97471
- Reassigned Medicare billing, Texas enrollment
- 40 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Center
Acute Care Hospitals · Roseburg, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97457 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MYRTLE CREEK, OR 97457
MYRTLE CREEK, OR 97457
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 Kimberlly Stevens's NPI number?
The NPI number for Kimberlly Stevens is 1851828511. It was assigned to this individual provider in the NPPES registry on May 12, 2017.
Where is Kimberlly Stevens located?
Kimberlly Stevens practices at 145 NE Broadway St, Myrtle Creek, OR 97457. The listed phone number is (541) 677-7200.
What is Kimberlly Stevens's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberlly Stevens enrolled in Medicare?
Yes. Kimberlly Stevens 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 Kimberlly Stevens's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberlly Stevens reassigns Medicare benefits to 2 organizations: Centennial Medical Group East, LLC (Myrtle Creek, OR) and Cow Creek Band Of Umpqua Tribe Of Indians (Roseburg, OR). 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 Kimberlly Stevens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberlly Stevens accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Kimberlly Stevens 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.
Is Kimberlly Stevens affiliated with any hospitals?
According to CMS data, Kimberlly Stevens is affiliated with Mercy Medical Center.
When was this NPI record last updated?
The NPPES record for Kimberlly Stevens was last updated on April 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Kimberlly Joy Stevens, FNP · NPI 1851828511
Family physician in Myrtle Creek, Oregon. Individual provider, active in the CMS NPPES registry since May 12, 2017.
## Identity
- **NPI:** 1851828511 (Entity type: Individual)
- **Enumerated:** May 12, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201703307NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 145 NE BROADWAY ST, Myrtle Creek, OR 97457-9039
- **Phone:** (541) 677-7200 · **Fax:** (541) 229-3309
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Centennial Medical Group East, LLC (NPI 1699103598, Myrtle Creek, OR); Cow Creek Band Of Umpqua Tribe Of Indians (NPI 1063502714, Roseburg, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 26, 2025
- **Other identifiers:** Medicaid 500725333 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1851828511) · Data from the CMS NPPES public registry.