Stephanie Ann Stephens, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

14100 Parkway Commons Dr Ste 201
Oklahoma City, OK 73134-6104

Phone

(405) 749-2765

Fax

(405) 749-6209

NPI assigned

Oct 15, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jack E. Marshall M.D. LLCGroup PAC ID 6901044346, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oklahoma Spine Hospital Hospital, Oklahoma City, OK, CCN 370206

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: stephanie.stephens@1374.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Osh Pain Management Associates, LLC

  • Interventional Pain Medicine Physician
  • Oklahoma City, OK
  • NPI 1568701332
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oklahoma Spine Hospital LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1699745893
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1003414673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 PARKWAY COMMONS DR STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346104",
            "telephone_number": "405-249-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 PARKWAY COMMONS DR STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346104",
            "telephone_number": "405-749-2765",
            "fax_number": "405-749-6209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 NE 13th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045004",
            "country_code": "US",
            "telephone_number": "405-249-1936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2023-04-18",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Renee Stephens, APRN, FNP-C
• Paul Lamont Stephens
• Sela Allana Stephens
• Stacey Stephens
• Stacey Marie Stephens
• Tyler Clayton Stephens, D.O.
• Christine Malina Stephenson, MA, LBA, BCBA
• Leona Ann Stephenson
• Lewis Harold Stephenson, DDS
• Mariah Stephenson

• Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.