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

Tori Shaye Stephens

Individual provider Nurse Practitioner · NPI 1043089626

Tori Shaye Stephens is a Nurse Practitioner in Wilmington, North Carolina. Qualified in 2023, 3 years ago. Practices with Mainstreet and Kidsstreet of North Carolina PLLC, a 76-clinician group and accepts Medicare assignment. Licensed in North Carolina and Tennessee.

Years since qualifying
3
Licensed in
NC, TN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

4117 Oleander Dr
Wilmington, NC 28403-6821
Phone: (910) 202-6988
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5019302 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 34609 (TN)

Record details

NPI number1043089626
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 25, 2023
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mainstreet And Kidsstreet Of North Carolina Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington