Patricia Lorraine Stupfel, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

089003099N3 ANP-PP Issued in OR

Practice address

1002 Bellevue St SE
Salem, OR 97301-4006

Phone

(503) 814-5352

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Medicare reassignment NPD
• Salem Health

  • Durable Medical Equipment & Medical Supplies
  • Keizer, OR
  • NPI 1487434775
  NPD
• Salem Vascular Consultants, LLP

  • Vascular Surgery Physician
  • Salem, OR
  • NPI 1508074147
  NPD (past)
• Salem Vascular, PC

  • Vascular Surgery Physician
  • Salem, OR
  • NPI 1831411560
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1326112178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973080824",
            "telephone_number": "503-371-8346",
            "fax_number": "503-371-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 BELLEVUE ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014006",
            "telephone_number": "503-814-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUPFEL",
        "first_name": "PATRICIA",
        "middle_name": "LORRAINE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OR",
            "license": "89003099N3",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "089003099N3 ANP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049148",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy M Stuber, APRN-NP
• Thomas George Stuck, M.A.
• Nicole Stuckart
• Mackenzie Stueve, CSWA
• Kimberly Susan Stump, MD
• Matthew James Sturgeon, PSY.D.
• Cassandra Marie Sturtz
• Jenna N Sturzinger, MPT
• Lyndsay R Stutzenberger, P.T., D.P.T.
• Andrea Diane Stutzman, RDH

• Nurse Practitioner in Salem, OR
• Providers in Salem, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.

Verify at the official NPI Registry.