Individual provider Active NPI

Stefanie R Coles, PA-C

  • Physician Assistant
  • Glen Burnie, MD
National Provider Identifier
1043689334
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C05905 Issued in MD
Practice address
7116 Ritchie Hwy
Glen Burnie, MD 21061-2904
Phone
(443) 577-0277
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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 C05905 MD Primary

Addresses

Primary practice location

7116 Ritchie Hwy
Glen Burnie, MD 21061-2904

Mailing address

913 Southerly Road
#264
Towson, MD 21204-2629
Phone (443) 275-9164

Other practice location 1

5601 Loch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MDExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160415001345 MD Practitioner - Physician Assistant 0244538783 Reassigns benefits to 4 organizations
I20230808000616 DC Practitioner - Physician Assistant 0244538783 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C05905MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Maryland Medical Group, PLLC CurrentSince Jun 25, 2023 Accepting new patients
American Psychiatric Care CurrentSince Mar 5, 2024 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Sep 24, 2025 Accepting new patients
American Psychiatric Care CurrentSince Mar 5, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. Current Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Jun 25, 2023 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Jun 25, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 24, 2025 Accepting new patients

Locations

2014 S Tollgate Rd
Ste 208
Bel Air, MD 21015
Phone (410) 670-3076

7116 Ritchie Hwy
Glen Burnie, MD 21061
Phone (443) 577-0277

10210 Reisterstown Rd
#12302
Owings Mills, MD 21117
Phone (410) 902-6776

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

14631 Route 29
Ste 110
Centreville, VA 20121

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: mdexchange@patientfirstclinics.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavour Healthcare LLC 8 clinicians

Practice addresses (Care Compare)

1012 N Point Rd
Baltimore, MD 21224-3338
Phone (443) 275-9164

913 Southerly Rd
Apt 264
Towson, MD 21204-2629
Phone (443) 275-9164

Hospital & facility affiliations

  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1043689334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 SOUTHERLY ROAD",
            "address_2": "#264",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042629",
            "telephone_number": "443-275-9164",
            "fax_number": "443-275-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612904",
            "telephone_number": "443-577-0277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 Loch Raven Blvd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212392945",
            "country_code": "US",
            "telephone_number": "443-444-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLES",
        "first_name": "STEFANIE",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C05905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7116 Ritchie Hwy",
            "city": "Glen Burnie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210612904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.