1. Home
  2. Directory
  3. Utah
  4. Riverton
  5. Nurse Practitioner
  6. NPI Profile

STEFANIE SIMONS CAMASSI AGNP
NPI 1902535107
Nurse Practitioner in Riverton, UT

Active since June 06, 2022PECOS Enrolled
1878 W 12600 S STE 336, RIVERTON, UT 84065(801) 879-9104 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 7, 2025, Jun 6, 2022 (2 updates tracked since 2022).

About Stefanie Simons Camassi Agnp NPPES

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

STEFANIE SIMONS CAMASSI AGNP (NPI 1902535107) is an individual nurse practitioner in Riverton, Utah, licensed in Utah (7960610-4405) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1902535107
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTEFANIE SIMONS CAMASSICredential: AGNP
Location Address1878 W 12600 S STE 336Riverton, UT 84065-7026
Mailing Address14286 S Jackson Field WayHerriman, UT 84096-2803 · (801) 879-9104
Phone(801) 879-9104
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 6, 2022
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1902535107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 7960610-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 7960610-4405 (UT)
1878 W 12600 S STE 336, Riverton, UT 84065
Open in Google Maps ↗

Other Names 1

Former Name (1)Stefanie Simons Agnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stefanie Simons Camassi Agnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688048861
PECOS Enrollment IDI20251219002816
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 Reassignments

2

Medicare enrollment records show Stefanie Simons Camassi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Utah Cancer Specialists PC
12 mi
Medical Oncology
3838 S 700 E STE 100
Salt Lake City, UT 84106
  • Reassigned Medicare billing, Utah enrollment
  • 57 clinicians in this Medicare group
NPI 1619925369 (801) 269-0231
Mavie LLC
538 mi
Family Medicine
1220 YOKE RD
La Pine, OR 97739
  • Reassigned Medicare billing, Arizona and Utah enrollments
  • 7 clinicians in this Medicare group
NPI 1366270365 (888) 711-5993

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 84065 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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 Stefanie Simons Camassi's NPI number?

The NPI number for Stefanie Simons Camassi is 1902535107. It was assigned to this individual provider in the NPPES registry on June 6, 2022. The provider is also known as Stefanie Simons Agnp.

Where is Stefanie Simons Camassi located?

Stefanie Simons Camassi practices at 1878 W 12600 S Ste 336, Riverton, UT 84065. The listed phone number is (801) 879-9104.

What is Stefanie Simons Camassi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stefanie Simons Camassi enrolled in Medicare?

Yes. Stefanie Simons Camassi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stefanie Simons Camassi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefanie Simons Camassi reassigns Medicare benefits to 2 organizations: Utah Cancer Specialists PC (Salt Lake City, UT) and Mavie LLC (La Pine, 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 Stefanie Simons Camassi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stefanie Simons Camassi accept?

Health plans from Blue Cross Blue Shield of Arizona and PacificSource Health Plans list Stefanie Simons Camassi 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 Stefanie Simons Camassi was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.