Individual provider Active NPI

Koreen Steward, FNP

  • Adult Health Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1003620592
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F11240582 Issued in CA
Practice address
27349 Jefferson Ave Ste 116
Temecula, CA 92590-5610
Phone
(951) 540-0020
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F11240582 CA Primary

Addresses

Primary practice location

27349 Jefferson Ave Ste 116
Temecula, CA 92590-5610

Mailing address

29876 Proud Land Dr
Menifee, CA 92584-0370
Phone (562) 536-8787

Other practice location 1

24910 Las Brisas Rd
Murrieta, CA 92562-4010
Phone (951) 482-9183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20260306001886 CA Practitioner - Nurse Practitioner 1850873993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Wound Solutions IncGroup PAC ID 0446758858, 26 clinicians

Practice addresses (Care Compare)

44045 Margarita Rd
Suite 101
Temecula, CA 92592-2729

Hospital & facility affiliations

  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F11240582CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Wound Solutions Inc CurrentSince Jan 20, 2026 Accepting new patients
Huddle Men'S Health PC CurrentSince Feb 23, 2025 Accepting new patients

Locations

44045 Margarita Rd
Ste 101
Temecula, CA 92592
Phone (951) 302-1122

27349 Jefferson Ave
Ste 116
Temecula, CA 92590
Phone (951) 540-0020

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1003620592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29876 PROUD LAND DR",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925840370",
            "telephone_number": "562-536-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27349 JEFFERSON AVE STE 116",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905610",
            "telephone_number": "951-540-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24910 Las Brisas Rd",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925624010",
            "country_code": "US",
            "telephone_number": "951-482-9183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWARD",
        "first_name": "KOREEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "F11240582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.