Stephanie Queen, DNP, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

10052209 Issued in OR

Practice address

15661 SE 82ND Dr
Clackamas, OR 97015-9580

Phone

(503) 343-9851

NPI assigned

Oct 7, 2019

Last updated

Feb 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Best Value Healthcare LLC

  dba MaxHealth

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1790152015

  Multi-Specialty

  NPD
• Physical Medicine Center

  • Multi-Specialty Clinic/Center
  • Tampa, FL
  • NPI 1902810963
  NPD
• Love Acupuncture

  • Acupuncturist
  • Clackamas, OR
  • NPI 1942651948
  NPD (past)
• Jessica J Wilson Chan D O PA

  • General Practice Physician
  • Tampa, FL
  • NPI 1457995953
  NPD (past)

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1619518008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15661 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15661 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159580",
            "telephone_number": "503-343-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "10052209",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11003517",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "11003517",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Psychological Solutions Inc.
• Hannah Elizabeth Pugh, PHARM.D.
• Kristin E Pulliam, RRT
• Samantha Lee Pyne, AUD
• Cindy Lee Quale, P A
• Ana Carolina Quintanilla Sengelmann
• Brenda Lizeth Quintero, NP
• Ezra Rabie, MD
• Hanieh J Rad, MD
• Emily Jane Radcliffe

• Primary Care Nurse Practitioner in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Primary Care Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.