Paige Stanzel, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2524 Issued in NE

Practice address

610 Jefferson St
Waterloo, NE 68069-2212

Phone

(402) 658-3150

NPI assigned

Sep 4, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://eproxy1.chsomaha.org/FHIRPROXY/api/FHIR/R4/
• FHIR API: https://eproxy1.chsomaha.org/FHIRPROXY/api/FHIR/R4

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.

• Nebraska Pediatric Practice, Inc

  • Pediatrics Physician
  • Omaha, NE
  • NPI 1144556333

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1003420100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 JEFFERSON ST",
            "city": "WATERLOO",
            "state": "NE",
            "postal_code": "680692212",
            "telephone_number": "402-658-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 JEFFERSON ST",
            "city": "WATERLOO",
            "state": "NE",
            "postal_code": "680692212",
            "telephone_number": "402-658-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANZEL",
        "first_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT STATE LICENSE",
            "identifier": "2524",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Roberts, NP
• Whitney Rodriguez
• Kallie A Schneider, M.D.
• Simplistic Solutions
• Jennifer M Simpson, APRN
• Peggy Staup, RN
• Michelle Ann Tsatsos
• Waterloo Fire and Rescue
• Waterloo Fire Department
• Stephani Wesely

• Physician Assistant in Waterloo, NE
• Providers in Waterloo, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.