Individual provider Active NPI

Stacy Leilani Whitaker, DO

  • Obstetrics & Gynecology Physician
  • Ontario, OR
National Provider Identifier
1316064512
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO150653 Issued in OR
Practice address
1050 SW 3Rd Ave Ste 3200
Ontario, OR 97914-4560
Phone
(541) 881-2325
Fax
(208) 914-6701
NPI assigned
Mar 23, 2007
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO150653 OR Primary
Obstetrics & Gynecology Physician 207V00000X 11323 MT

Addresses

Primary practice location

1050 SW 3Rd Ave Ste 3200
Ontario, OR 97914-4560

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

900 Sunset Dr
LA Grande, OR 97850-1362
Phone (541) 963-1883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100317000553 OR Practitioner - Obstetrics/Gynecology 1355446055 Reassigns benefits to 3 organizations
I20260415002003 ID Practitioner - Obstetrics/Gynecology 1355446055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Hospital LLCGroup PAC ID 8325325806, 91 clinicians
Grande Ronde Hospital IncGroup PAC ID 0547170789, shared by 8 NPIs, 97 clinicians

Practice addresses (Care Compare)

2315 8TH St
Lewiston, ID 83501-7301
Phone (208) 793-5920

601 Medical Pkwy
Enterprise, OR 97828-5124
Phone (541) 426-5460

900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-8421

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11323MTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grande Ronde Hospital, Inc. CurrentSince Mar 4, 2010 Accepting new patients
Wallowa County Health Care District CurrentSince Dec 30, 2025 Accepting new patients
Wallowa County Health Care District CurrentSince Dec 30, 2025 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince Mar 4, 2010 Accepting new patients

Locations

601 Medical Pkwy
Enterprise, OR 97828
Phone (541) 426-3111

610 Sunset Dr
La Grande, OR 97850
Phone (541) 663-3175

710 Sunset Dr
Ste E
La Grande, OR 97850
Phone (541) 663-3150

900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421

Interoperability endpoints

  • Direct secure messaging: swhitaker834924@wm.providencedirect.org
  • Direct secure messaging: swhitaker834962@oc.providencedirect.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Grande Ronde Hospital IncLa Grande, OR, CCN 38Z321 Hospital Corporate Director Jan 1, 2018

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1316064512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SW 3RD AVE STE 3200",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979144560",
            "telephone_number": "541-881-2325",
            "fax_number": "208-914-6701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "LA Grande",
            "state": "OR",
            "postal_code": "978501362",
            "country_code": "US",
            "telephone_number": "541-963-1883",
            "fax_number": "541-963-1837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "STACY",
        "middle_name": "LEILANI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "DO150653",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "11323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OR

Sources for this page

Verify at the official NPI Registry.