Nurse Practitioner
SHASTA STEPHENS AGACNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1417312315 · enumerated 2015-12-18 · record updated 2025-07-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1111 CRATER LAKE AVE, MEDFORD, OR, 97504-6241 (541) 732-5545 Fax (541) 732-5548 Google Maps Apple Maps OpenStreetMap
- Mailing address 6608 MERCY CT STE B, FAIR OAKS, CA, 95628-3171 (916) 241-9844 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Acute Care 363LA2100X · License 55653 WY
- Nurse Practitioner, Acute Care 363LA2100X · License 202010137NP-PP OR
- Nurse Practitioner, Adult Health 363LA2200X · License 307579 NY
- Nurse Practitioner 363L00000X · Primary · License 95006534 CA
In this directory
Locations and evidence
-
Practice location
MEDFORD, OR, 975046241
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.