Individual provider Active NPI

Stefanie A Carone, PA-C

  • Physician Assistant
  • Colebrook, NH
National Provider Identifier
1013156801
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1142 Issued in NH
Practice address
141 Corliss LN
Colebrook, NH 03576-3206
Phone
(603) 237-8336
NPI assigned
Feb 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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 1142 NH Primary

Addresses

Primary practice location

141 Corliss LN
Colebrook, NH 03576-3206

Mailing address

141 Corliss LN
Colebrook, NH 03576-3206
Phone (603) 237-8336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170518000786 OH Practitioner - Physician Assistant 2466583174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

1000 Columbus Ave
Suite B
Lebanon, OH 45036-8330
Phone (513) 934-7171

519 S Breiel Blvd
Middletown, OH 45044-5111
Phone (513) 433-1288

7300 Beechmont Ave
Cincinnati, OH 45230-4119
Phone (513) 232-9100

7345 Kingsgate Way
West Chester, OH 45069-2453
Phone (513) 777-1333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1142NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
David E. Adelberg MD Inc. Past Accepting new patients

Organizations & group practices 2

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": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1013156801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CORLISS LN",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763206",
            "telephone_number": "603-237-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CORLISS LN",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763206",
            "telephone_number": "603-237-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARONE",
        "first_name": "STEFANIE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colebrook, NH

Sources for this page

Verify at the official NPI Registry.