Individual provider Active NPI

Rebecca Stolorena, PA-C

  • Family Medicine Physician
  • Denver, NC
National Provider Identifier
1083279392
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0010-09200 Issued in NC
Practice address
6127 S NC 16 Business Hwy
Denver, NC 28037-9319
Phone
(704) 483-0340
Fax
(704) 483-8217
NPI assigned
May 2, 2019
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Family Medicine Physician 207Q00000X 0010-09200 NC Primary

Addresses

Primary practice location

6127 S NC 16 Business Hwy
Denver, NC 28037-9319

Mailing address

6127 S Hwy 16
Denver, NC 28037
Phone (704) 483-0340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200114000751 NC Practitioner - Physician Assistant 0941635395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians
Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Practice addresses (Care Compare)

3367 N NC 16 Business Hwy
Denver, NC 28037-8265
Phone (419) 221-6717

3900 Terrell Park Dr
Sherrills Ford, NC 28673-9510

50 Macedonia Church Rd a
Taylorsville, NC 28681-8414
Phone (828) 732-5300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-09200NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc CurrentSince Oct 1, 2021 Accepting new patients
Gaston Family Health Services, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Nov 4, 2019 Accepting new patients
Neurology Associates, PA Single Specialty PastSince Aug 15, 2021 Accepting new patients
Gaston Family Health Services, Inc. Single Specialty Past Accepting new patients

Locations

200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377

3114 W Main St
Claremont, NC 28610
Phone (828) 459-7324

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

2365 Springs Rd NE
Hickory, NC 28601
Phone (828) 256-2112

137 Island Ford Rd
Maiden, NC 28650
Phone (828) 428-2446

50 Macedonia Church Rd
Taylorsville, NC 28681
Phone (828) 328-5500

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFIHAA
  • Direct secure messaging: rebecca.stolorena@cvmg.eclinicaldirectplus.com

Organizations & group practices 6

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 2

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1083279392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 S HWY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "28037",
            "telephone_number": "704-483-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6127 S NC 16 BUSINESS HWY",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280379319",
            "telephone_number": "704-483-0340",
            "fax_number": "704-483-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLORENA",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2021-08-12",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0010-09200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.