Stephanie G Wesztergom, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30007922 Issued in WA

Practice address

1251 Lewis River Rd Ste D
Woodland, WA 98674-9203

Phone

(360) 225-4310

Fax

(360) 225-4309

NPI assigned

Mar 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Cowlitz Family Health CenterGroup PAC ID 5991696395, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peacehealth St John Medical Center Hospital, Longview, WA, CCN 500041

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.

• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Longview, WA
  • NPI 1891724506
  Care Compare group NPD
• Molina Healthcare of Washington, Inc

  • Family Medicine Physician
  • Everett, WA
  • NPI 1912235060

  WA

  Medicare reassignment
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Woodland, WA
  • NPI 1053472993
  NPD (past)
• Adriana Pop-Moody MD Clinic PA

  • Community/Retail Pharmacy
  • Corpus Christi, TX
  • NPI 1356858468
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Peacehealth

  • General Acute Care Hospital
  • Longview, WA
  • NPI 1073510277

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1497715882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 12TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322509",
            "telephone_number": "360-636-3892",
            "fax_number": "360-414-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 LEWIS RIVER RD STE D",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986749203",
            "telephone_number": "360-225-4310",
            "fax_number": "360-225-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESZTERGOM",
        "first_name": "STEPHANIE",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2228053",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Kayla Ward, LAT, ATC, CSCS
• Deanna Warren, NC
• Katharine Maria Webb, SLP
• Catelyn Renee Wesley, LMT
• Hannah Rose Wiler, CD, CPD
• Woodland Assisted Living
• Woodland Chiropractic Wellness Clinic, PS
• Woodland Enterprises Inc
• Woodland Eye & Vision

• Family Nurse Practitioner in Woodland, WA
• Providers in Woodland, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.