Individual provider Active NPI

Stephanie Nicole Price, PA-C

  • Physician Assistant
  • Huntington, WV
National Provider Identifier
1003320615
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2120 Issued in WV
Practice address
2900 1St Ave RM 1025
Huntington, WV 25702-1241
Phone
(304) 399-7484
Fax
(304) 399-7579
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2120 WV Primary

Addresses

Primary practice location

2900 1St Ave RM 1025
Huntington, WV 25702-1241

Mailing address

5170 US Route 60
Huntington, WV 25705-2004
Phone (304) 528-4600

Other names 1

  • Stephanie Nicole Farley Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Price.Stephanie@scs.directstmarys.org St Mary's Hospitalist Services, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180131003118 WV Practitioner - Physician Assistant 8921368416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Hospitalist Services LLCGroup PAC ID 2062552763, 45 clinicians

Practice addresses (Care Compare)

2900 1St Ave
Huntington, WV 25702-1241
Phone (304) 399-2600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2120WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Medical Management, LLC Physician Assistant CurrentSince Nov 13, 2017 Accepting new patients

Locations

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

2900 1st Ave
#2E
Huntington, WV 25702
Phone (304) 399-2600

2900 1st Ave
Rm 1025
Huntington, WV 25702
Phone (304) 399-7484

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

Interoperability endpoints

  • Direct secure messaging: price.stephanie@scs.directstmarys.org

Organizations & group practices 3

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": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1003320615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052004",
            "telephone_number": "304-528-4600",
            "fax_number": "304-399-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 1ST AVE RM 1025",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021241",
            "telephone_number": "304-399-7484",
            "fax_number": "304-399-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Price.Stephanie@scs.directstmarys.org",
            "affiliation": "Y",
            "affiliationName": "St Mary's Hospitalist Services, LLC",
            "address_1": "2900 1st Ave Rm 1025",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257021241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "FARLEY",
            "middle_name": "NICOLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.