Individual provider Active NPI

Joseph Justus Stanger, FNP-C

  • Family Nurse Practitioner
  • Hermiston, OR
National Provider Identifier
1649783176
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10015829 Issued in OR
Practice address
610 NW 11TH St Ste E-15
Hermiston, OR 97838-6601
Phone
(541) 567-6434
Fax
(541) 429-6613
NPI assigned
Nov 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 200742518RN OR
Family Nurse Practitioner 363LF0000X 10015829 OR Primary

Addresses

Primary practice location

610 NW 11TH St Ste E-15
Hermiston, OR 97838-6601

Mailing address

PO Box 1517
Pendleton, OR 97801-0410
Phone (541) 278-4332

Other practice location 1

1890 7th St
Umatilla, OR 97882-9826
Phone (541) 567-6434

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231109003076 OR Practitioner - Nurse Practitioner 7618324849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Praxis Health PCGroup PAC ID 8325941446, shared by 5 NPIs, 174 clinicians
Hermiston Medical Center P CGroup PAC ID 9133028798, 10 clinicians

Practice addresses (Care Compare)

1890 7TH St
Umatilla, OR 97882-9826
Phone (541) 567-6434

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200742518RNORMDEmergency Registered Nurse
10015829ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hermiston Medical Center P C CurrentSince Jan 5, 2025 Accepting new patients
Hermiston Medical Center P C CurrentSince Jan 5, 2025 Accepting new patients
Eopt Boardman PLLC Past Accepting new patients

Locations

600 NW 11th St
Ste E15
Hermiston, OR 97838
Phone (541) 567-6434

1890 7th St
Umatilla, OR 97882
Phone (541) 567-6434

Interoperability endpoints

  • Direct secure messaging: joseph.stanger.1@31984.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1649783176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "541-278-4332",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NW 11TH ST STE E-15",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386601",
            "telephone_number": "541-567-6434",
            "fax_number": "541-429-6613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1890 7th St",
            "address_purpose": "LOCATION",
            "city": "Umatilla",
            "state": "OR",
            "postal_code": "978829826",
            "country_code": "US",
            "telephone_number": "541-567-6434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANGER",
        "first_name": "JOSEPH",
        "middle_name": "JUSTUS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-06",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OR",
            "license": "200742518RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10015829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

Verify at the official NPI Registry.