Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619518008 Individual Practitioner Female Practitioner

Dr. Stephanie Queen , DNP, APRN

Nurse Practitioner - Primary Care • Clackamas, OR

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Queen, DNP, APRN is a registered healthcare professional specializing in Nurse Practitioner - Primary Care in Clackamas, OR. Official NPI practice address is registered at 15661 SE 82ND DR.

Frequently performed procedures and clinical services include injection, levocarnitine, per 1 gm, injection, pyridoxine hcl, 100 mg, injection, thiamine hcl, 100 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15661 Se 82nd Dr

Clackamas, OR 970159580

Telephone 5033439851
Associated Practice Facility / Clinic
🏢 Love Acupuncture Facility NPI 1942651948

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Clackamas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 7.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Clackamas, OR (110 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1955 Injection, levocarnitine, per 1 gm
2,480 19 $20.99 $20.95
J3415 Injection, pyridoxine hcl, 100 mg
1,890 19 $10.26 $6.84
J3411 Injection, thiamine hcl, 100 mg
1,260 19 $2.54 $2.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
635 19 $75.00 $12.02
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
359 20 $40.81 $10.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $350.00 $143.32

Medical Specialties & State Licenses

CMS Verified: 2026-02-17
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License OR 10052209

Definition to come...

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License FL 11003517

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Aprn License
11003517 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Kristen Scoggins , LMT

Massage Therapist

NPI 1013606060

Licensed Massage Therapist

NPI 1023555380

MACOM, Licensed Acupuncturist

NPI 1114319175

DAOM, Licensed Acupuncturist

NPI 1265644884

Licensed Massage Therapist

Valerie Tabalno , LMT

Massage Therapist

NPI 1508205410

Licensed Massage Therapist

Jesssica Owens , LMT

Massage Therapist

NPI 1679838619

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location February 17, 2026

Registered at 15661 SE 82ND DR, CLACKAMAS, OR 970159580 (Tel: 5033439851)

📍
Updated Business Mailing Address February 17, 2026

Registered at 15661 SE 82ND DR, CLACKAMAS, OR 970159580

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2026

Nurse Practitioner (License #10052209 in OR)

📍
Updated Practice Location March 19, 2024

Registered at 1548 BLOOMINGDALE AVE, VALRICO, FL 335966101 (Tel: 8134849641)

📍
Updated Business Mailing Address March 19, 2024

Registered at 545 CHANNELSIDE DR UNIT 1710, TAMPA, FL 336025488

👤
Provider Name / Credentials Updated March 19, 2024

Recorded as STEPHANIE QUEEN, DNP, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2024

Nurse Practitioner (License #11003517 in FL)

NPI Profile Active October 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2019

Registered at 1051 BRUCE B DOWNS BLVD # 6, WESLEY CHAPEL, FL 335449257 (Tel: 8134849641)

📍
Updated Business Mailing Address October 07, 2019

Registered at 1051 BRUCE B DOWNS BLVD # 6, WESLEY CHAPEL, FL 335449257

👤
Provider Name / Credentials Updated October 07, 2019

Recorded as STEPHANIE QUEEN, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2019

Nurse Practitioner (License #11003517 in FL)

🟢
Initial NPI Registration & Enumeration October 07, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619518008
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2019
Last Update: February 17, 2026
Sole Proprietor: Yes

Mailing Address

15661 Se 82nd Dr

Clackamas, OR 970159580

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.