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

Stephanie Marie Basham, AGAC-NP

Individual provider Acute Care Nurse Practitioner · NPI 1356071328

Stephanie Marie Basham, AGAC-NP is a Nurse Practitioner in Roanoke, Virginia. Qualified in 2021, 5 years ago. Practices with Carilion Medical Center, a 951-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2022

Practice location Address checks out

2001 Crystal Spring Ave SW Ste 201
Roanoke, VA 24014-2465
Phone: (540) 853-0100
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0024183788 (VA)

Record details

NPI number1356071328
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGAC-NP
Sole proprietorNo
NPI enumeratedJune 13, 2022
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Carilion Medical Center — 951 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Roanoke