Individual provider Active NPI

Stelle Darelle Fopa-Yemeli, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1790390300
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10066114 Issued in OR
Practice address
5540 SW Westgate Dr
Suite 350
Portland, OR 97221
Phone
(971) 352-6971
Fax
(971) 352-6984
NPI assigned
Sep 10, 2020
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1790390300 TX
Family Nurse Practitioner 363LF0000X 1016143 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1016143 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10066114 OR Primary
Primary Care Nurse Practitioner 363LP2300X 1016143 TX
Primary Care Nurse Practitioner 363LP2300X 1790390300 TX
Registered Nurse 163W00000X 893884 TX

Addresses

Primary practice location

5540 SW Westgate Dr
Suite 350
Portland, OR 97221

Mailing address

1608 Trellis Dr
Mansfield, TX 76063-4489
Phone (469) 493-1142

Other practice location 1

601 N Saginaw Blvd
Saginaw, TX 76179-1224
Phone (682) 286-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210917000852 TX Practitioner - Nurse Practitioner 0042617045 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
893884TXMDRegistered Nurse
1016143TXMDPrimary Care Nurse Practitioner
1790390300TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Psychiatry & Wellness Care PLLC Psychiatric/Mental Health CurrentSince Feb 23, 2025 Accepting new patients
Stellar Psychiatry & Wellness Care PLLC CurrentSince Dec 26, 2025 Accepting new patients

Organizations & group practices 2

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1790390300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 TRELLIS DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634489",
            "telephone_number": "469-493-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 SW WESTGATE DR",
            "address_2": "SUITE 350",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97221",
            "telephone_number": "971-352-6971",
            "fax_number": "971-352-6984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Saginaw Blvd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "TX",
            "postal_code": "761791224",
            "country_code": "US",
            "telephone_number": "682-286-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOPA-YEMELI",
        "first_name": "STELLE DARELLE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1790390300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1016143",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1016143",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10066114",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1016143",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1790390300",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "893884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.