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

Staci Antaya, BA, BSN, MSN, FNP

Individual provider Registered Nurse · NPI 1396555652

Staci Antaya, BA, BSN, MSN, FNP is a Nurse Practitioner in Medford, Oregon. Qualified in 2024, 2 years ago. Practices with La Clinica Del Valle Family Health Care Center Inc, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2025
Specialties on file
2
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

3617 S Pacific Hwy
Medford, OR 97501-8957
Phone: (541) 535-6239
Show map & directions

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

Additional practice locations (1)

  • 638 Market St, Medford, OR 97504-6126 — (541) 535-6239

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10038520 (OR)
Registered Nurse Taxonomy 163W00000X · Licence 200540315RN (OR)

Record details

NPI number1396555652
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA , BSN , MSN , FNP
Sole proprietorNo
NPI enumeratedJanuary 9, 2025
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice La Clinica Del Valle Family Health Care Center Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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