KAITLIN EILEEN STAPLETON (FNP) – Nurse Practitioner, NPI 1033636279

KAITLIN EILEEN STAPLETON (FNP) is a healthcare provider. based in Medford, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 201707765NP-PP (OR). The NPI Number for KAITLIN EILEEN STAPLETON (FNP) is 1033636279

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KAITLIN EILEEN STAPLETON (FNP)
NPI
1033636279
Phone
(541) 779-1672
Address
3270 HILLCREST ROAD
Enumeration Date
28 August 2017
Last Update Date
6 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417791672
Graduation Year
2017 (9 years ago)
PAC ID
8426324559
Group Practice PAC ID
8022275684
Professional Enrollment ID
I20171018000073
Address ID
OR975048458ME2900XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for KAITLIN EILEEN STAPLETON (FNP)

  • 3270 HILLCREST ROAD

    MEDFORD, OR 97504

    Phone: (541) 779-1672

    Type: Location

  • 2900 State St

    Medford, OR 975048458

    Phone: (541) 779-1672

    Type: Location

  • 2900, State Street, Medford, Jackson County, Oregon, 97504, United States

    MEDFORD, OR 975048458

    Phone: (541) 779-1672

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-10-18

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
I20171018000073INurse PractitionerORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes200179$0
99214Established patient office or other outpatient visit, 30-39 minutes180160$0
99204New patient office or other outpatient visit, 45-59 minutes134134$0
99203New patient office or other outpatient visit, 30-44 minutes4444$0
99215Established patient office or other outpatient visit, 40-54 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 97504)

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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: 8022275684View full group profile
NameSpecialtyState
N E U R O S U R G E R YOR
N E U R O S U R G E R YLA
Physician AssistantOR
Physician AssistantOR
Physician AssistantOR
N E U R O S U R G E R YOR
-OR
Physician AssistantCA
Physician AssistantOR
Physician AssistantOR

Reviews

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Frequently asked questions

Where can patients find KAITLIN EILEEN STAPLETON (FNP)'s NPI?
You can confirm KAITLIN EILEEN STAPLETON (FNP) with NPI 1033636279; it appears in the national provider directory.
Is KAITLIN EILEEN STAPLETON (FNP) currently active in the NPI registry?
CMS-published data lists KAITLIN EILEEN STAPLETON (FNP) as an active registrant.
Can you summarize KAITLIN EILEEN STAPLETON (FNP)'s specialty in plain language?
Clinically, the directory lists KAITLIN EILEEN STAPLETON (FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for KAITLIN EILEEN STAPLETON (FNP)?
The page summarizes Medford, Oregon for KAITLIN EILEEN STAPLETON (FNP); expand the address list for detail.
Is KAITLIN EILEEN STAPLETON (FNP) a real provider?
This page reflects official NPPES data for NPI 1033636279. Always confirm identity and privileges with the practice and licensing boards.

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