Individual provider Active NPI

Stephanie R Rogers, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vandalia, OH
National Provider Identifier
1407741614
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0039496 Issued in OH
Practice address
2338 Upper Trent Way
Vandalia, OH 45377-9411
Phone
(937) 241-4354
Fax
(937) 241-4354
NPI assigned
Jun 9, 2025
Last updated
Apr 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0039496 OH Primary
Registered Nurse 163W00000X RN.325261 OH

Addresses

Primary practice location

2338 Upper Trent Way
Vandalia, OH 45377-9411

Mailing address

2338 Upper Trent Way
Vandalia, OH 45377-9411
Phone (937) 241-4354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20 W Wenger Rd
Englewood, OH 45322-2744

PO Box
Suite 26521
Trotwood, OH 45426-0521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.325261OHMDRegistered Nurse
APRN.CNP.0039496OHMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1407741614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 UPPER TRENT WAY",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453779411",
            "telephone_number": "937-241-4354",
            "fax_number": "937-241-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 UPPER TRENT WAY",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453779411",
            "telephone_number": "937-241-4354",
            "fax_number": "937-241-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0039496",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.325261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

Verify at the official NPI Registry.