Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shasta M Stephens, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1417312315

Shasta M Stephens, AGACNP is a Nurse Practitioner in Medford, Oregon. Graduated from George Washington University School of Medicine in 2017, 9 years ago. Practices with Marshall Medical Center, a 171-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California, New York, Oregon and Wyoming.

Years since qualifying
9
Trained at
George Washington University School of Medicine
Licensed in
CA, NY, OR, WY
In the registry since
2015
Specialties on file
4

Practice location Address checks out

1111 Crater Lake Ave
Medford, OR 97504-6241
Phone: (541) 732-5545
Fax: (541) 732-5548
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 707 Sheridan Ave, Cody, WY 82414-3409 — (307) 527-7501

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95006534 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 55653 (WY)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 202010137NP-PP (OR)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 307579 (NY)

Record details

NPI number1417312315
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedDecember 18, 2015
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Marshall Medical Center — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Medford