Individual provider Active NPI

Stacey Kneule

  • Medical Physician Assistant
  • Exton, PA
National Provider Identifier
1013426782
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
278 Eagleview Blvd
Exton, PA 19341-1157
Phone
(610) 561-6400
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

278 Eagleview Blvd
Exton, PA 19341-1157

Mailing address

278 Eagleview Blvd
Exton, PA 19341-1157
Phone (610) 561-6400

Other practice location 1

2407 Reichart Rd
Bloomsburg, PA 17815-8969
Phone (570) 784-8303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20200210001452 DE Practitioner - Physician Assistant 2769758036 Reassigns benefits to 1 organization

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
Newark Emergency CenterGroup PAC ID 9931620291, 30 clinicians

Practice addresses (Care Compare)

324 E Main St
N/a
Newark, DE 19711-7150
Phone (302) 738-4300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Emergency Center CurrentSince Jan 17, 2026 Accepting new patients

Locations

324 E Main St
Newark, DE 19711
Phone (302) 633-2345

Organizations & group practices 1

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": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1013426782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 EAGLEVIEW BLVD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411157",
            "telephone_number": "610-561-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 EAGLEVIEW BLVD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411157",
            "telephone_number": "610-561-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2407 Reichart Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomsburg",
            "state": "PA",
            "postal_code": "178158969",
            "country_code": "US",
            "telephone_number": "570-784-8303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNEULE",
        "first_name": "STACEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.