Active NPI
Stephanie Romo, F.N.P.
- Family Nurse Practitioner
- Medford, OR
National Provider Identifier
1265982326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201608421NP-PP
- Practice address
- 4035 S Stage Rd
Medford, OR 97501-9542 - Phone
- (949) 295-2740
- Fax
- (949) 799-4814
- NPI assigned
- Oct 12, 2016
- 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 | 201608421NP-PP | OR | Primary |
Addresses
Primary practice location
4035 S Stage Rd
Medford, OR 97501-9542
Mailing address
4035 S Stage Rd
Medford, OR 97501-9542
Phone (949) 295-2740
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Spring Health LLC | Current | Accepting new patients | |
| CRM Physicians, LLC | Family | Current | Accepting new patients |
Locations
6800 SW 105th Ave
Beaverton, OR 97008
6800 SW 105th Ave
Ste 206
Beaverton, OR 97008
1208 Beall Ln
Central Point, OR 97502
650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588
835 Crater Lake Ave
Medford, OR 97504
Phone (541) 507-4141
Organizations & group practices 2
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.
-
- Gerontology Nurse Practitioner
- Medford, OR
- NPI 1417581315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1265982326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4035 S STAGE RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975019542",
"telephone_number": "949-295-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4035 S STAGE RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975019542",
"telephone_number": "949-295-2740",
"fax_number": "949-799-4814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMO",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-12",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201608421NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.