Individual provider Active NPI

Stephanie Nixon, FNP-C

  • Family Nurse Practitioner
  • Junction City, OR
National Provider Identifier
1790164028
Registry record updated Apr 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201502952NP-PP Issued in OR
Practice address
93121 Smyth Rd
Junction City, OR 97448-9563
Phone
(541) 952-9605
Fax
(877) 960-5584
NPI assigned
May 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2026

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 201502952NP-PP OR Primary

Addresses

Primary practice location

93121 Smyth Rd
Junction City, OR 97448-9563

Mailing address

12 Cadillac Dr Ste 300
Brentwood, TN 37027-5363
Phone (541) 952-9605

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
I20250520002233 OR Order and Referring Only - Nurse Practitioner 1850604752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775347200000",
    "number": "1790164028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CADILLAC DR STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275363",
            "telephone_number": "541-952-9605",
            "fax_number": "877-960-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93121 SMYTH RD",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974489563",
            "telephone_number": "541-952-9605",
            "fax_number": "877-960-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "STEPHANIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201502952NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, OR

Sources for this page

Verify at the official NPI Registry.