Stefany Jeneifer Cameron, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60511375 Issued in WA

Practice address

21709 113TH St E
Bonney Lake, WA 98391-7844

Phone

(253) 737-5764

Fax

(253) 220-2127

NPI assigned

Jul 6, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Best Northwest Physicians PLLCGroup PAC ID 2365606340, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daiya Healthcare PLLC

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1477027381

  CA

  Medicare reassignment
• Best Northwest Physicians PLLC

  • Internal Medicine Physician
  • Bonney Lake, WA
  • NPI 1568729572
  Care Compare group
• The Clearwater Orthopaedic ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Clearwater, FL
  • NPI 1306892609
  NPD (past)
• Warren General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Warren, PA
  • NPI 1407199227
  NPD (past)
• Warren General Hospital

  • Family Medicine Physician
  • Warren, PA
  • NPI 1508803701
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1003103565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21301 STATE ROUTE 410 E # 157",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918468",
            "telephone_number": "253-737-5764",
            "fax_number": "253-220-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21709 113TH ST E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917844",
            "telephone_number": "253-737-5764",
            "fax_number": "253-220-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "STEFANY",
        "middle_name": "JENEIFER",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054996",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60511375",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60511375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne C. Burgoyne, LMFT
• Lauren Burns
• Erin Butcher
• Butler and Brubaker Orthotics and Prosthetics
• Samuel Joshua Cahn-Temes, LMT
• Brandy Marre Campbell, OTR/L
• Anastacia M Candazo, LMT
• Kara Anne Cantrell, MA60930967
• Karrie L Carlile, LMP
• Marisa Jeanette Carlin, LMT

• Physician Assistant in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.