Individual provider Active NPI

Stephanie Nicole Bandish, ARNP

  • Acute Care Nurse Practitioner
  • Spring Creek, NV
National Provider Identifier
1679843080
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
846451 Issued in NV
Practice address
250 Country Club Pkwy
Spring Creek, NV 89815-5830
Phone
(775) 738-3000
NPI assigned
Jan 3, 2012
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 846451 NV Primary

Addresses

Primary practice location

250 Country Club Pkwy
Spring Creek, NV 89815-5830

Mailing address

250 Country Club Pkwy
Spring Creek, NV 89815-5830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20220215002391 NV Practitioner - Nurse Practitioner 1052704012 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Emergency Medicine Solutions LTD CurrentSince Nov 15, 2021 Accepting new patients

Locations

2511 Mountain City Hwy
Elko, NV 89801
Phone (775) 738-2779

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1679843080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 COUNTRY CLUB PKWY",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898155830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 COUNTRY CLUB PKWY",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898155830",
            "telephone_number": "775-738-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDISH",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "846451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Creek, NV

Sources for this page

Verify at the official NPI Registry.