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

Stephanie Nicole D'Andrea, AGPCNP

Individual provider Gerontology Nurse Practitioner · NPI 1497125884

Stephanie Nicole D'Andrea, AGPCNP is a Nurse Practitioner in Tigard, Oregon. Qualified in 2015, 11 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2015
Specialties on file
2

Practice location Address checks out

12442 SW Scholls Ferry Rd Ste 100
Tigard, OR 97223-0803
Phone: (503) 216-9200
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 201703689NP-PP (OR)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 201703689NP-PP (OR)

Record details

NPI number1497125884
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedSeptember 29, 2015
Last updated in NPPESAugust 24, 2025
Certification dateAugust 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Tigard