CAMERON STEPHENSON (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1790065738

CAMERON STEPHENSON (NP) is a healthcare provider. based in Rexburg, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 3009120 (KY). The NPI Number for CAMERON STEPHENSON (NP) is 1790065738

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
CAMERON STEPHENSON (NP)
NPI
1790065738
Phone
(208) 356-0234
Address
37 S 2ND E
Enumeration Date
22 August 2011
Last Update Date
4 February 2026

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2083560234
Graduation Year
2011 (15 years ago)
PAC ID
4385929819
Group Practice PAC ID
8123016367
Professional Enrollment ID
I20230725001511
Address ID
ID834401906RE37XXX2NDX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:14State licenses:2Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for CAMERON STEPHENSON (NP)

  • 37 S 2ND E

    REXBURG, ID 834401906

    Phone: (208) 356-0234

    Fax: (208) 488-4702

    Type: Mailing

  • 330 SEVEN SPRINGS WAY

    SUITE 2

    BRENTWOOD, TN 370275098

    Phone: (615) 920-7906

    Fax: (615) 920-8775

    Type: Mailing

  • 196 BEVINS LN

    SUITE F

    GEORGETOWN, KY 403248534

    Phone: (502) 863-2818

    Fax: (502) 863-2764

    Type: Location

  • 393 E 2ND N

    REXBURG, ID 834401605

    Phone: (208) 359-6498

    Fax: (208) 488-4702

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $456.

Total Amount is formed as General ($456) + Research ($0) + Ownership ($0) = $456.

Last reported payment date: 2024-12-29 • Largest payer in this snapshot: UCB, Inc. ($147).

Total Amount

$456

General + Research + Ownership

Payments

30

Total payment records

General Amount

$456

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230725001511INurse PractitionerIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123016367View full group profile
NameSpecialtyState
-ID
Family Practice, Emergency MedicineID
Physician AssistantID
Registered Dietitian Or Nutrition ProfessionalID
Internal MedicineID
General PracticeID
P O D I A T R YID
Family PracticeID
Orthopedic SurgeryID
Certified Nurse Midwife (Cnm)ID

Reviews

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Frequently asked questions

Can I cross-check CAMERON STEPHENSON (NP) using NPI 1790065738?
NPI 1790065738 belongs to CAMERON STEPHENSON (NP); compare other details if you need extra assurance.
Would CAMERON STEPHENSON (NP) appear as active to a payer?
You can treat CAMERON STEPHENSON (NP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is CAMERON STEPHENSON (NP)?
CAMERON STEPHENSON (NP) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is CAMERON STEPHENSON (NP) associated with Rexburg?
Public fields place CAMERON STEPHENSON (NP) around Rexburg, Idaho. Always confirm the exact site before visiting.
Does CAMERON STEPHENSON (NP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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