Individual provider Active NPI

Stephanie Lynne Shaeffer, FNP-C

  • Family Nurse Practitioner
  • Nederland, TX
National Provider Identifier
1215415302
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137639 Issued in TX
Practice address
2300 Highway 365 Ste 150
Nederland, TX 77627-6293
Phone
(409) 401-5864
Fax
(409) 344-8600
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 AP137639 TX Primary

Addresses

Primary practice location

2300 Highway 365 Ste 150
Nederland, TX 77627-6293

Mailing address

2300 Highway 365 Ste 150
Nederland, TX 77627-6293
Phone (409) 401-5864

Other practice location 1

3480 College St
Beaumont, TX 77701-4612
Phone (409) 813-1677

Other practice location 2

2929 Calder St Ste 100
Beaumont, TX 77702-1841
Phone (409) 401-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181011000382 TX Practitioner - Nurse Practitioner 6406108992

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Station Dr
Westwood, MA 02090-2318

2548 Memorial Blvd
Port Arthur, TX 77640-2825

3130 Stagg Dr
Beaumont, TX 77701-4501

3406 College St
Suite 200
Beaumont, TX 77701-4612

3480 College St
Beaumont, TX 77701-4612

7700 San Felipe St
Suite 360
Houston, TX 77063-1607

9201 E Mountain View Rd
Suite 220
Scottsdale, AZ 85258-5172

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cyrus Healthcare and Management, PLLC CurrentSince Jul 1, 2024 Accepting new patients
Qamar U Arfeen MD PA Past Accepting new patients
JCH Inc PastSince Apr 1, 2021 Accepting new patients

Locations

2929 Calder St
Ste 100
Beaumont, TX 77702
Phone (409) 401-5864

2300 Highway 365
Ste 150
Nederland, TX 77627
Phone (409) 401-5864

225 S Main St
Vidor, TX 77662
Phone (409) 769-3692

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1215415302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365 STE 150",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276293",
            "telephone_number": "409-401-5864",
            "fax_number": "409-344-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365 STE 150",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276293",
            "telephone_number": "409-401-5864",
            "fax_number": "409-344-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3480 College St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014612",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2929 Calder St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021841",
            "country_code": "US",
            "telephone_number": "409-401-5864",
            "fax_number": "409-344-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAEFFER",
        "first_name": "STEPHANIE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

Verify at the official NPI Registry.