Individual provider Active NPI

Stephanie M Gramling, PA-C

  • Medical Physician Assistant
  • Somerset, PA
National Provider Identifier
1043702806
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA064176 Issued in PA
Practice address
329 S Pleasant Ave
Somerset, PA 15501-2262
Phone
(814) 445-3575
NPI assigned
Jun 6, 2018
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110006198 VA
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X MA064176 PA Primary

Addresses

Primary practice location

329 S Pleasant Ave
Somerset, PA 15501-2262

Mailing address

329 S Pleasant Ave
Somerset, PA 15501-2262
Phone (814) 445-3575

Other identifiers 1

IdentifierTypeStateIssuer
MA064176OtherPAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230214000087 PA Practitioner - Physician Assistant 4587912258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somerset Health Services IncGroup PAC ID 2668434614, 44 clinicians

Practice addresses (Care Compare)

329 S Pleasant Ave
Somerset, PA 15501-2262

426 Main St
Berlin, PA 15530-1229
Phone (814) 267-4603

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
65.53
Promoting interoperability
100
Improvement activities
40
Cost
76.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA064176PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Health Services, Inc. CurrentSince Jan 30, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

426 Main St
Berlin, PA 15530
Phone (814) 267-4603

1800 Cambridge Dr
Ste A
Davidsville, PA 15928

329 S Pleasant Ave
Somerset, PA 15501
Phone (814) 445-3575

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1043702806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S PLEASANT AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012262",
            "telephone_number": "814-445-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 S PLEASANT AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012262",
            "telephone_number": "814-445-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMLING",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006198",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MA064176",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.