Active NPI
Kaitlin Eileen Stapleton, FNP
- Nurse Practitioner
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 201707765NP-PP
- Practice address
- 3270 Hillcrest Road
Medford, OR 97504 - Phone
- (541) 779-1672
- NPI assigned
- Aug 28, 2017
- Last updated
- Jun 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201707765NP-PP | OR | Primary |
Addresses
Primary practice location
3270 Hillcrest Road
Medford, OR 97504
Mailing address
2900 State St
Medford, OR 97504-8458
Phone (541) 779-1672
Other practice location 1
2900 State St
Medford, OR 97504-8458
Phone (541) 779-1672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 State St
Medford, OR 97504-8458
Phone (541) 779-1672
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201707765NP-PP | OR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Oregon Neurosurgical & Spine Associates, PC | Current | Accepting new patients |
Locations
2900 State St
Medford, OR 97504
Phone (541) 779-1672
3270 Hillcrest Rd
Medford, OR 97504
Phone (541) 779-1672
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Medford, OR
- NPI 1912288671
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Asante Rogue Regional Medical Center
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
dba Curry Medical Center (formerly Brookings Medical Center)
- Critical Access Hospital Clinic/Center
- Brookings, OR
- NPI 1083656367
-
dba Curry General Hospital
- Critical Access Hospital
- Gold Beach, OR
- NPI 1487696985
-
dba Providence Medford Medical Center
- General Acute Care Hospital
- Medford, OR
- NPI 1689755670
-
- General Acute Care Hospital
- Klamath Falls, OR
- NPI 1659340370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1033636279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 STATE ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048458",
"telephone_number": "541-779-1672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3270 HILLCREST ROAD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-779-1672"
}
],
"practiceLocations": [
{
"address_1": "2900 State St",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975048458",
"country_code": "US",
"telephone_number": "541-779-1672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAPLETON",
"first_name": "KAITLIN",
"middle_name": "EILEEN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-28",
"last_updated": "2025-06-06",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "201707765NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
- Danielle Cassidy Stanford
- Laura Parise Stanislawski, M.S., LPC
- Mary K Stansell, RD LD CDE
- Nyssa Stant
- Silvia Tsai Luu Stanton, LCSW
- Cassandra Lynn Stapp
- Star Dialysis LLC (Siskiyou Dialysis)
- Star Dialysis LLC (Rogue Valley Dialysis)
- Starchvick Optical Inc (Advanced Vision Wellness Center)
- Gerald R Starchvick, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.