Active NPI
Stephanie Lynne Shaeffer, FNP-C
- Family Nurse Practitioner
- Nederland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP137639
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cyrus Healthcare and Management, PLLC | Current | Accepting new patients | |
| Qamar U Arfeen MD PA | Past | Accepting new patients | |
| JCH Inc | Past | 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
- 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.
-
- Pulmonary Disease Physician
- Nederland, TX
- NPI 1588249403
-
- Home Health Agency
- Beaumont, TX
- NPI 1134128648
-
- Specialist
- Beaumont, TX
- NPI 1841488145
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.