Individual provider Active NPI

Mark C Stevens, NP

  • Family Nurse Practitioner
  • Grants Pass, OR
National Provider Identifier
1265729628
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201904712NP-PP Issued in OR
Practice address
500 SW Ramsey Avenue
Grants Pass, OR 97527-5554
Phone
(541) 472-7000
Fax
(503) 261-6769
NPI assigned
Jul 6, 2011
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201904712NP-PP OR Primary
Family Nurse Practitioner 363LF0000X MS001301 NV

Addresses

Primary practice location

500 SW Ramsey Avenue
Grants Pass, OR 97527-5554

Mailing address

PO Box 4749
Medford, OR 97501-0227
Phone (503) 251-6155

Other practice location 1

3603 Grand Teton Ct
Reno, NV 89509-7420
Phone (775) 997-6722

Other practice location 2

1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (541) 767-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110912000287 NV Practitioner - Nurse Practitioner 7012188626 Reassigns benefits to 1 organization
I20150901001125 CA Practitioner - Nurse Practitioner 7012188626 Reassigns benefits to 2 organizations
I20190806000982 OR Practitioner - Nurse Practitioner 7012188626 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
64.68
Promoting interoperability
100
Improvement activities
40
Cost
47.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MS001301NVMDFamily Nurse Practitioner
201904712NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra ER Department Physicians Medical Group Inc. CurrentSince Jan 1, 2017 Accepting new patients
Good Shepherd Health Care System CurrentSince Feb 13, 2024 Accepting new patients
Western Healthcare Services Texas CurrentSince Sep 1, 2022 Accepting new patients
Morrow County Health District CurrentSince Mar 1, 2023 Accepting new patients
Mt Grant General Hospital CurrentSince Feb 29, 2016 Accepting new patients
Morrow County Health District CurrentSince Mar 1, 2023 Accepting new patients
Mt Grant General Hospital CurrentSince Feb 29, 2016 Accepting new patients
Asante Three Rivers Medical Center, LLC CurrentSince Aug 1, 2023 Accepting new patients
Maxem Health Urgent Care Lake Oswego CurrentSince Jan 5, 2022 Accepting new patients
Solano Gateway Medical Group Inc CurrentSince Feb 1, 2020 Accepting new patients
Usacs Integrated Acute Care Services of Nevada Bagnoli P C Past Accepting new patients
Renown Urgent Care LLC Past Accepting new patients

Locations

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

18653 Wedge Pkwy
Ste 300
Reno, NV 89511
Phone (775) 770-7210

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

17437 Boones Ferry Rd
Ste 100
Lake Oswego, OR 97035
Phone (503) 387-3796

Interoperability endpoints

  • Direct secure messaging: mstevens1501641@direct.lhs.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1265729628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4749",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010227",
            "telephone_number": "503-251-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SW RAMSEY AVENUE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275554",
            "telephone_number": "541-472-7000",
            "fax_number": "503-261-6769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3603 Grand Teton Ct",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895097420",
            "country_code": "US",
            "telephone_number": "775-997-6722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974249700",
            "country_code": "US",
            "telephone_number": "541-767-5222",
            "fax_number": "541-767-5230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201904712NP-PP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "MS001301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.