Stephanie Ann Empson, FNP
Individual provider Active NPI Family Nurse Practitioner · Bandon, OR
NPI 1053907006 · NPPES record last updated Jul 8, 2023
Key facts
- NPI
- 1053907006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 202011108NP-PP (OR)
- Practice address
- 1010 1St St SE Ste 110
Bandon, OR 97411-9301 - Phone
- (541) 347-2529
- NPI assigned
- Dec 14, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coquille Valley Health
Practice addresses (Care Compare)
2699 N 17TH St
Coos Bay, OR 97420-2134
Phone (541) 266-3600
Hospital & facility affiliations
- Oregon Coast Home Health
- South Coast Hospice
- Southern Coos Hospital & Health Center
- Bay Area Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210126001850 | OR | Practitioner - Nurse Practitioner | 4183038573 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bandon Community Health Center | Current | Accepting new patients | |
| Bay Area Hospital District | Current |
Accepting new patients | |
| Coquille Valley Health | Current |
Accepting new patients | |
| Bay Area Hospital District | Current |
Accepting new patients | |
| Bandon Community Health Ctr | Current |
Accepting new patients | |
| Coquille Valley Health | Current |
Accepting new patients | |
| HMZ Ventures Corporation | Current |
Accepting new patients | |
| Coquille Valley Health | Past | Accepting new patients |
Locations
Dept LA 25339
Pasadena, CA 91185
1010 1st St SE
Ste 110
Bandon, OR 97411
Phone 5413472529119
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090
2699 N 17th St
Coos Bay, OR 97420
Phone (541) 266-3600
1860 Virginia Ave
Ste 8
North Bend, OR 97459
Phone (541) 756-7568
Interoperability endpoints
- sempson135048@secure.stcharleshealthcare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 202011108NP-PP | OR | Yes |
Addresses
Primary practice location
1010 1St St SE Ste 110
Bandon, OR 97411-9301
Mailing address
1010 1St St SE Ste 110
Bandon, OR 97411-9301
Phone (541) 347-2529
Other practice location 1
1860 Virginia Ave Ste 8
North Bend, OR 97459-2355
Phone (541) 808-2412
Other providers in Bandon, OR
- Anna Delaine Dodd
- Douglas Medical Equipment Supply
- Richard Charles Dowling Jr.
- Kirsten Cassidy Dugan
- Rachel Lee Dugan
- Evertide Counseling LLC
- Brandie Feger
- Nicolette Fonseca
- Dena Freed
- Frontier Foot and Ankle Specialists LLC
All providers in Bandon, OR · Family Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.