Stephanie O'Connor, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

200450105NP Issued in OR

Practice address

18750 SE Stark St
Portland, OR 97233-5330

Phone

(541) 296-7677

NPI assigned

Nov 18, 2005

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 5

Other names 1

• Stephanie Matus Former name

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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Community HealthGroup PAC ID 6305759283, 51 clinicians

Mid-Columbia Medical CenterGroup PAC ID 3779487251, 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001
• Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: soconnor314005@direct.ochin.org
• Direct secure messaging: soconnor133063@oc.providencedirect.org
• Direct secure messaging: soconnor99385@direct.ohsu.edu

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.

• Mid-Columbia Medical Center

  • General Practice Physician
  • The Dalles, OR
  • NPI 1053409599
  Medicare reassignment Care Compare group NPD
• One Community Health

  • Federally Qualified Health Center (FQHC)
  • Hood River, OR
  • NPI 1851385918
  Medicare reassignment Care Compare group NPD
• Asher Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Fossil, OR
  • NPI 1811937485
  Medicare reassignment NPD
• Columbia Gorge Medical Center PC

  • Clinic/Center
  • Hood River, OR
  • NPI 1558346064
  Medicare reassignment NPD
• Asher Community Health Center

  • Primary Care Clinic/Center
  • Fossil, OR
  • NPI 1033989439
  NPD
• Asher Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Fossil, OR
  • NPI 1063675569
  NPD
• Columbia Gorge Medical Center PC

  • Rural Health Clinic/Center
  • Hood River, OR
  • NPI 1821364944
  NPD
• Healthcare for the Mid-Columbia Region

  • Emergency Medicine Physician
  • The Dalles, OR
  • NPI 1497797856
  NPD
• Mid-Columbia Medical Center

  • Multi-Specialty Clinic/Center
  • Hood River, OR
  • NPI 1568979680
  NPD
• One Community Health

  • Community/Retail Pharmacy
  • The Dalles, OR
  • NPI 1104666064
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Roseburg, OR
  • NPI 1780647719
  NPD (past)
• Cep America LLC

  • Emergency Medicine Physician
  • Edmonds, WA
  • NPI 1447484274
  NPD (past)

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

• Mid-Columbia Medical Center

  • Critical Access Hospital Clinic/Center
  • The Dalles, OR
  • NPI 1306842752
  Care Compare affiliation
• Providence Health & Services Oregon

  • Critical Access Hospital
  • Hood River, OR
  • NPI 1255429338
  Care Compare affiliation

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1720060353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 EUGENE ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311435",
            "telephone_number": "541-400-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18750 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335330",
            "telephone_number": "541-296-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "200450105NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA CRIME VICTIMS",
            "identifier": "8945123",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9643768",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "0223414",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022961",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS",
            "identifier": "858543038",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MATUS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly O'Connor, RD LD
• Laura B. O'Connor, PSY. D., MFT, BCBA
• Lee Rourke O'Connor, PT
• Loretta O'Connor, LMT
• Miranda Jean O'Connor
• Tara C O'Connor, ARNP
• Stephen William O'Curran, QMHA
• Lisa O'Dell, M.S., LMHC, LPC
• Rolland E O'Dell, D.O.
• Steven Kelly O'Dell, MSW LCSW

• Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.