KELLI DEAN STEPHENSON (FNP-C) – Family Nurse Practitioner, NPI 1780989772
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for KELLI DEAN STEPHENSON (FNP-C)
620 NW 11TH ST STE M106
HERMISTON, OR 978386941
Phone: (541) 667-3801
Fax: (541) 667-3802
Type: Mailing
PO BOX 13620
OKLAHOMA CITY, OK 731131629
Phone: (405) 445-1210
Fax: (405) 445-3310
Type: Mailing
2518 N MAIN ST
MIAMI, OK 743541602
Phone: (918) 540-9077
Fax: (918) 540-9080
Type: Location
2500 Peres Ave
Memphis, TN 381081660
Phone: (901) 515-5500
Fax: (901) 458-5591
Type: Location
2367 S Roosevelt Dr
Seaside, OR 971386550
Phone: (971) 320-3161
Fax: (503) 738-2116
Type: Location
1027 E BURNSIDE ST
PORTLAND, OR 972141328
Phone: (503) 239-8400
Type: Mailing
2367 S ROOSEVELT DR
SEASIDE, OR 971386550
Phone: (971) 320-3161
Fax: (503) 738-2116
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: 2025-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230322000536 | I | Obstetrics/Gynecology | TN | TBD |
| I20250827003663 | I | Nurse Practitioner | OK | TBD |
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.
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 97838)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Internal Medicine, Pediatric Medicine | OK | |
| Hospitalist, Internal Medicine, Internal Medicine | TX | |
| Nurse Practitioner | OK | |
| - | KS | |
| Clinical Social Worker | OK | |
| Nurse Practitioner | OK |
Reviews
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