Stefanie Simons Camassi, AGNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

7960610-4405 Issued in UT

Practice address

1878 W 12600 S Ste 336
Riverton, UT 84065-7026

Phone

(801) 879-9104

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Stefanie Simons Former name

Medicare fee-for-service enrollment

Enrolled in UT, AZ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Utah Cancer Specialists PC

  dba Utah Cancer Specialists

  • Medical Oncology Physician
  • Salt Lake City, UT
  • NPI 1619925369

  Nurse Practitioner

  Medicare reassignment NPD
• Mavie LLC

  • Family Medicine Physician
  • La Pine, OR
  • NPI 1366270365

  AZ, UT

  Medicare reassignment NPD
• Utah Cancer Specialists PC

  dba Utah Cancer Specialists

  • Non-Pharmacy Dispensing Site
  • Salt Lake City, UT
  • NPI 1912058942

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1902535107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14286 S JACKSON FIELD WAY",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840962803",
            "telephone_number": "801-879-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 W 12600 S STE 336",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657026",
            "telephone_number": "801-879-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS CAMASSI",
        "first_name": "STEFANIE",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "7960610-4405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "7960610-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "SIMONS",
            "credential": "AGNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jay W Silcox, D.D.S., P.C.
• Tori Renae Silva
• Silver Ridge Dental Care
• Julie Abamonga Simmons, PT, DPT
• Daniel Patrick Simon, MD
• Katherine Jo Simpson, CSW
• Sabrina Simpson
• Tamera Simpson, P.T.
• Tony Lewis Skanchy, D.M.D.
• Morgan Slade

• Nurse Practitioner in Riverton, UT
• Providers in Riverton, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.