Individual provider Active NPI

Stephanie Ann Empson, FNP

  • Family Nurse Practitioner
  • Bandon, OR
National Provider Identifier
1053907006
Registry record updated Jul 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202011108NP-PP Issued in OR
Practice address
1010 1St St SE Ste 110
Bandon, OR 97411-9301
Phone
(541) 347-2529
NPI assigned
Dec 14, 2020
Last updated
Jul 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202011108NP-PP OR Primary

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

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210126001850 OR Practitioner - Nurse Practitioner 4183038573 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coquille Valley HealthGroup PAC ID 2567902182, 20 clinicians

Practice addresses (Care Compare)

2699 N 17TH St
Coos Bay, OR 97420-2134
Phone (541) 266-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
202011108NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bandon Community Health Ctr CurrentSince Feb 1, 2021 Accepting new patients
Bandon Community Health Center Current Accepting new patients
Bay Area Hospital District CurrentSince Nov 7, 2022 Accepting new patients
Bay Area Hospital District CurrentSince Nov 7, 2022 Accepting new patients
Coquille Valley Health CurrentSince Feb 1, 2025 Accepting new patients
HMZ Ventures Corporation CurrentSince Apr 15, 2021 Accepting new patients
Coquille Valley Health CurrentSince Feb 1, 2025 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

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

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

  • Direct secure messaging: sempson135048@secure.stcharleshealthcare.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688774400000",
    "number": "1053907006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 1ST ST SE STE 110",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974119301",
            "telephone_number": "541-347-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 1ST ST SE STE 110",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974119301",
            "telephone_number": "541-347-2529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 Virginia Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "OR",
            "postal_code": "974592355",
            "country_code": "US",
            "telephone_number": "541-808-2412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMPSON",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202011108NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bandon, OR

Sources for this page

Verify at the official NPI Registry.