Active NPI
Stella M Blais, PA
- Physician Assistant
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C05690
- Practice address
- 10120 Baltimore National Pike
Ellicott City, MD 21042-3614 - Phone
- (410) 730-3399
- NPI assigned
- Feb 13, 2013
- Last updated
- Apr 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TX | ||
| Physician Assistant | 363A00000X | VA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | C05690 | MD | Primary |
Addresses
Primary practice location
10120 Baltimore National Pike
Ellicott City, MD 21042-3614
Mailing address
6230 Old Dobbin LN Ste 230
Columbia, MD 21045-5884
Phone (410) 730-3399
Other practice location 1
4230 Seminary Rd
Alexandria, VA 22304
Phone (850) 559-1621
Other names 1
- Stella Meusch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10120 Baltimore National Pike
Ellicott City, MD 21042-3614
Phone (410) 694-7999
10981 Johns Hopkins Rd
Laurel, MD 20723-6002
Phone (410) 694-7999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C05690 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Medical Group, PA | Current | Accepting new patients | |
| Centennial Medical Group, PA | Current | Accepting new patients | |
| First Call Medical Center LLC | Current | Accepting new patients |
Locations
6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111
8186 Lark Brown Rd
Ste 201
Elkridge, MD 21075
Phone (410) 834-8110
10120 Baltimore National Pike
Ellicott City, MD 21042
Phone (410) 694-7999
10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999
Organizations & group practices 3
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.
-
dba First Call Urgent Care
- Urgent Care Clinic/Center
- Laurel, MD
- NPI 1841680766
-
- Family Medicine Physician
- Columbia, MD
- NPI 1134235039
-
- Family Medicine Physician
- Clarksville, MD
- NPI 1336918275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1114266954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6230 OLD DOBBIN LN STE 230",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455884",
"telephone_number": "410-730-3399",
"fax_number": "410-740-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10120 BALTIMORE NATIONAL PIKE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210423614",
"telephone_number": "410-730-3399"
}
],
"practiceLocations": [
{
"address_1": "4230 Seminary Rd",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "22304",
"country_code": "US",
"telephone_number": "850-559-1621",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAIS",
"first_name": "STELLA",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-13",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C05690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STELLA",
"last_name": "MEUSCH",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.