Individual provider Active NPI

Stefanie Starr Absher, NP

  • Family Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1861021586
Registry record updated Apr 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95014302 Issued in CA
Practice address
231 E Caldwell Ave
Visalia, CA 93277-7605
Phone
(559) 622-9800
NPI assigned
Apr 4, 2020
Last updated
Apr 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2020

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 NP95014302 CA Primary

Addresses

Primary practice location

231 E Caldwell Ave
Visalia, CA 93277-7605

Mailing address

105 Jeffrey St
Bakersfield, CA 93305-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200521001677 CA Practitioner - Nurse Practitioner 0648606822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immediate Care Medical Group Inc.Group PAC ID 0941359160, 6 clinicians

Practice addresses (Care Compare)

231 E Caldwell Ave
Visalia, CA 93277-7605
Phone (559) 622-9800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95014302CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care Medical Group, Inc. CurrentSince Apr 13, 2020 Accepting new patients

Locations

231 E Caldwell Ave
Visalia, CA 93277
Phone (559) 622-9800

Interoperability endpoints

  • Direct secure messaging: stefanie.absher@484128754630660.direct.elationemr.com

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": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585958400000",
    "number": "1861021586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JEFFREY ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933052410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E CALDWELL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777605",
            "telephone_number": "559-622-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABSHER",
        "first_name": "STEFANIE",
        "middle_name": "STARR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95014302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.