Individual provider Active NPI

Stephanie N Stitzel, PA-C

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1003124645
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058057 Issued in PA
Practice address
812 N Prince St
Lancaster, PA 17603-2732
Phone
(717) 299-6371
NPI assigned
Sep 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 53573 CA
Physician Assistant 363A00000X 0110003397 VA
Physician Assistant 363A00000X MA058057 PA Primary

Addresses

Primary practice location

812 N Prince St
Lancaster, PA 17603-2732

Mailing address

82 South Ave
Landisville, PA 17538-1908
Phone (717) 682-4528

Other names 1

  • Stephanie N Wright Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 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

Enrollment IDStateProvider typePAC IDDetails
I20160627001727 PA Practitioner - Physician Assistant 9133308976 Reassigns benefits to 2 organizations
I20221103002823 NC Practitioner - Physician Assistant 9133308976 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53573CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care CurrentSince Sep 24, 2024 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Oct 20, 2022 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Oct 20, 2022 Accepting new patients
Union Community Care CurrentSince Sep 24, 2024 Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients

Locations

119 Crossover Rd
Beulaville, NC 28518
Phone (910) 298-3125

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

1200 Hargett St
Jacksonville, NC 28540
Phone (910) 219-1082

102 Main St
Ste 1
Kenansville, NC 28349
Phone (910) 275-0195

4007 M L King Jr Blvd
New Bern, NC 28562
Phone (252) 772-9995

360 E Charity Rd
Rose Hill, NC 28458
Phone (910) 289-3086

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

Interoperability endpoints

  • Direct secure messaging: sstitzel@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: stephanie.stitzel.1@14261.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1003124645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SOUTH AVE",
            "city": "LANDISVILLE",
            "state": "PA",
            "postal_code": "175381908",
            "telephone_number": "717-682-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N PRINCE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032732",
            "telephone_number": "717-299-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITZEL",
        "first_name": "STEPHANIE",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53573",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003397",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WRIGHT",
            "middle_name": "N",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.