Ms Stephenie Hargrove, NP - Medicare Nurse Practitioner in Clearlake, CA

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Ms Stephenie Hargrove, NP is a medicare enrolled "Nurse Practitioner - Family" in Clearlake, California. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Adventist Health Clearlake Hospital Inc. and her current practice location is 15630 18th Ave, Clearlake, California. You can reach out to her office (for appointments etc.) via phone at (707) 994-6486.

Ms Stephenie Hargrove is licensed to practice in California (license number 95012363) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053927608.

Contact Information

Ms Stephenie Hargrove, NP
15630 18th Ave,
Clearlake, CA 95422-9336
(707) 994-6486
Not Available

Map and Direction




Provider's Profile

Full NameMs Stephenie Hargrove
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location15630 18th Ave, Clearlake, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Stephenie Hargrove graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1053927608
  • Provider Enumeration Date: 09/18/2020
  • Last Update Date: 09/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6305244369
  • Enrollment ID: I20211006001829

Medical Identifiers

Medical identifiers for Ms Stephenie Hargrove such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053927608NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95012363 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Health ClearlakeClearlake, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Adventist Health Clearlake Hospital Inc.307242119775

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Stephenie Hargrove allows following entities to bill medicare on her behalf.
Entity NameLake County Tribal Health Consortium Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881697381
PECOS PAC ID: 8729975545
Enrollment ID: O20040304000323
Entity NameAdventist Health Clearlake Hospital Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124018031
PECOS PAC ID: 3072421197
Enrollment ID: O20041112000573
Entity NameAdventist Health Physicians Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063718583
PECOS PAC ID: 3274580972
Enrollment ID: O20050407000633

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Stephenie Hargrove is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Stephenie Hargrove, NP
19947 Mountain Mdw N,
Hidden Valley Lake, CA 95467-8546

Ph: (615) 693-0403		Ms Stephenie Hargrove, NP
15630 18th Ave,
Clearlake, CA 95422-9336

Ph: (707) 994-6486

Reviews and Comments


Nurse Practitioner Nurses in Clearlake, CA

Martina Sara Cordova, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15630 18th Ave, Clearlake, CA 95422
Phone: 707-994-6486    
Ms. Katherine Robin Willems, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422
Phone: 707-995-4500    
Suzan Lewil, APRN, PMHNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422
Phone: 707-995-4545    
Ann C Larocca,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422
Phone: 707-995-4500    
Ciaran George Carroll, FNP, MSN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422
Phone: 707-995-2400    
Mr. Rommel B Gayagoy, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422
Phone: 707-995-4500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.