Individual provider Active NPI

Michelle Marie Stecher, FNP

  • Family Nurse Practitioner
  • Springfield, OR
National Provider Identifier
1760673933
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200850092NP FNP-PP Issued in OR
Practice address
1605 G St
Springfield, OR 97477-4227
Phone
(541) 747-6159
Fax
(541) 741-7249
NPI assigned
Aug 5, 2007
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200850092NP FNP-PP OR Primary

Addresses

Primary practice location

1605 G St
Springfield, OR 97477-4227

Mailing address

1605 G St
Springfield, OR 97477-4227
Phone (541) 747-6159

Other identifiers 2

IdentifierTypeStateIssuer
200340647RNOtherORSTATE BOARD OF NURSING
200850092NP FNP-PPOtherORFNP LICENSE NUMBER

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
I20240711002764 OR Practitioner - Nurse Practitioner 5092250266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oregon Health Sciences University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joshua J Clark MD LLCGroup PAC ID 7618354432, 3 clinicians

Practice addresses (Care Compare)

1605 G St
Springfield, OR 97477-4227
Phone (541) 747-6159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200850092NP FNP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua J Clark MD LLC CurrentSince Jun 24, 2024 Accepting new patients

Locations

1605 G St
Springfield, OR 97477
Phone (541) 741-2100

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1760673933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 G ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774227",
            "telephone_number": "541-747-6159",
            "fax_number": "541-741-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 G ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774227",
            "telephone_number": "541-747-6159",
            "fax_number": "541-741-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECHER",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200850092NP FNP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING",
            "identifier": "200340647RN",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE NUMBER",
            "identifier": "200850092NP FNP-PP",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.