MRS. PRINCESS STEPHENSON APRN, FNP-C
NPI 1881155901
Nurse Practitioner - Family in Clarksburg, MD

Q: What is Princess Stephenson's NPI number?

The NPI number for Princess Stephenson is 1881155901. It was assigned to this individual provider in the NPPES registry on March 29, 2019. The provider is also known as P. Marie Stephenson Aprn, Fnp-C.

Q: What is Princess Stephenson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: Is Princess Stephenson enrolled in Medicare?

No. Princess Stephenson has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since March 29, 2019Opted out of Medicare · through Jan 1, 2027

23202 BREWERS TAVERN WAY, CLARKSBURG, MD 20871(301) 298-9919(301) 298-9917 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2022, Jan 11, 2022, Dec 5, 2021 and 9 more (12 updates tracked since 2019).

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About Mrs. Princess Stephenson Aprn, Fnp-c NPPES

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

MRS. PRINCESS STEPHENSON APRN, FNP-C (NPI 1881155901) is an individual family provider in Clarksburg, Maryland, licensed in Maryland (R206896) and active in the NPI registry since March 2019. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1881155901

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. PRINCESS STEPHENSONCredential: APRN, FNP-C

Location Address23202 BREWERS TAVERN WAYClarksburg, MD 20871-4391

Mailing Address23202 Brewers Tavern WayClarksburg, MD 20871-4391 · (301) 298-9919 · Fax (301) 298-9917

Phone(301) 298-9919

Fax(301) 298-9917

Sole ProprietorNo

Enumeration DateMarch 29, 2019

Last NPPES UpdateSeptember 9, 202212 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2022

✔ NPI 1881155901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MD · R206896

23202 BREWERS TAVERN WAY, Clarksburg, MD 20871

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Other Names 1

Other Name (5)P. Marie Stephenson Aprn, Fnp-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Princess Stephenson Aprn, Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2023 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2023

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

SSV MEDICAL GROUP

Clinic/Center (Primary Care)