Wyatt Stebbins, PA-C
Individual provider Active NPI Physician Assistant · Sonora, CA
NPI 1003264359 · NPPES record last updated May 27, 2016
Key facts
- NPI
- 1003264359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1000 Greenley Rd
Sonora, CA 95370-5200 - Phone
- (209) 532-1326
- NPI assigned
- May 27, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1700 University Ave W
St Paul, MN 55104-3727
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 90.55
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 81.74
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 67.27
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250814000291 | MN | Practitioner - Physician Assistant | 5597051870 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2188 | NE | MD | Professional Counselor |
| 53612 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current |
Accepting new patients | |
| Sonora Community Hospital | Current |
Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients |
Locations
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
14540 State Highway 108
Sonora, CA 95370
Phone (209) 532-3167
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1000 Greenley Rd
Sonora, CA 95370-5200
Mailing address
PO Box 4685
Sonora, CA 95370-1685
Other providers in Sonora, CA
- Kimberly Spangler
- William Donovan Spangler
- Vanessa Spiteri
- Mary Sponsler
- Jack Leroy Stclair
- Liana Bird Steinmetz
- Stephen Hopkins MD Medical Corporation
- Danya Kaye Stettler
- Steve C. Jensen, DPM, Inc
- Steven H. Peterson, M.D., Inc.
All providers in Sonora, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.