Shane Stephens, - Medicare Nurse Practitioner in Johnson City, TN

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Shane Stephens, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Johnson City, Tennessee. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sbh-kingsport and his current practice location is 701 Med Tech Pkwy, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 302-3480.

Shane Stephens is licensed to practice in Tennessee (license number 24695) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285117606.

Contact Information

Shane Stephens,
701 Med Tech Pkwy,
Johnson City, TN 37604-2365
(423) 302-3480
(423) 833-0639

Map and Direction




Provider's Profile

Full NameShane Stephens
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location701 Med Tech Pkwy, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shane Stephens graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1285117606
  • Provider Enumeration Date: 09/11/2018
  • Last Update Date: 03/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1951631472
  • Enrollment ID: I20190926001456

Medical Identifiers

Medical identifiers for Shane Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285117606NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 24695 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sbh-kingsport83253992568

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. Shane Stephens allows following entities to bill medicare on his behalf.
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909
Entity NameMedpsych Inc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962828137
PECOS PAC ID: 2264655877
Enrollment ID: O20140529002275
Entity NameSbh-kingsport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174038749
PECOS PAC ID: 8325399256
Enrollment ID: O20190725001314

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. Shane Stephens 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
Shane Stephens,
7032 Robinette Valley Rd,
Duffield, VA 24244-2979

Ph: (828) 551-5679		Shane Stephens,
701 Med Tech Pkwy,
Johnson City, TN 37604-2365

Ph: (423) 302-3480

Reviews and Comments


Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615
Phone: 423-282-1480    Fax: 423-928-1353
Connie T Rutledge, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604
Phone: 423-794-5520    Fax: 423-282-6940
Charity Helton, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604
Phone: 423-439-7320    
Meghan Marie Hollier, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1018 Chase Dr, Johnson City, TN 37604
Phone: 423-282-3379    Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604
Phone: 423-461-2100    Fax: 423-461-2199
Shelly J Mcintosh, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604
Phone: 423-794-5520    Fax: 423-282-0720
Miss Samantha Manuel I, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1021 W Oakland Ave, Suite 301, Johnson City, TN 37604
Phone: 423-952-8000    Fax: 423-952-8001

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.