STEPHANIE RIDGLEY (FNP) – Family Nurse Practitioner, NPI 1205342391

STEPHANIE RIDGLEY (FNP) is a healthcare provider. based in Junction city, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 201710444NP-PP (OR). The NPI Number for STEPHANIE RIDGLEY (FNP) is 1205342391

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE RIDGLEY (FNP)
NPI
1205342391
Phone
(541) 999-6943
Address
1275 IVY ST UNIT 4
Enumeration Date
27 December 2017
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5037692175
Graduation Year
2017 (9 years ago)
PAC ID
5092190306
Group Practice PAC ID
6103729751
Professional Enrollment ID
I20220921004033
Address ID
OR973831311ST1401XAVEX400
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for STEPHANIE RIDGLEY (FNP)

  • 1275 IVY ST UNIT 4

    JUNCTION CITY, OR 974482011

    Phone: (541) 999-6943

    Fax: (888) 277-1309

    Type: Location

  • 325 W 13TH AVE

    JUNCTION CITY, OR 974481432

    Phone: (541) 999-6943

    Fax: (888) 277-1309

    Type: Location

  • McMindes Court, Roseville, Placer County, California, 95747, United States

    ROSEVILLE, CA 957475853

    Phone: (209) 768-0331

    Type: Mailing

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: 2022-09-21

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
I20220921004033INurse 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
99284Emergency department visit with moderate level of medical decision making3433$0
99283Emergency department visit with low level of medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 97448)

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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: 6103729751View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
Emergency MedicineOR
Physician AssistantOR
Physician AssistantOR
Physician AssistantOR
Emergency MedicineOR
-OR
Nurse PractitionerOR
Certified Registered Nurse Anesthetist (Crna)OR
Physician AssistantOR

Reviews

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Frequently asked questions

Does STEPHANIE RIDGLEY (FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — STEPHANIE RIDGLEY (FNP) uses 1205342391.
Is STEPHANIE RIDGLEY (FNP) listed as active for patients and plans?
The listing shows STEPHANIE RIDGLEY (FNP) as active in the NPI system.
What taxonomy line describes STEPHANIE RIDGLEY (FNP)?
For research purposes, treat STEPHANIE RIDGLEY (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect STEPHANIE RIDGLEY (FNP) on a map?
Expect Junction City, Oregon as a primary anchor for STEPHANIE RIDGLEY (FNP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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