NPIMap

Individual provider Active NPI

Stephanie Spangler Paulhamus, PA-C

  • Physician Assistant
  • Williamsport, PA
National Provider Identifier
1154830305
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059294 Issued in PA
Practice address
175 Pine St Ste 200
Williamsport, PA 17701-6549
Phone
(570) 326-2447
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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 MA059294 PA Primary

Addresses

Primary practice location

175 Pine St Ste 200
Williamsport, PA 17701-6549

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171115000074 PA Practitioner - Physician Assistant 7012273683 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
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

175 Pine St
Suite 200
Williamsport, PA 17701-6549
Phone (570) 326-2447

Hospital & facility affiliations

  • Upmc Home Healthcare Home health agency, Williamsport, PA, CCN 397006
  • Upmc Williamsport Hospital, Williamsport, PA, CCN 390045
  • Upmc Muncy Hospital, Muncy, PA, CCN 391301

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
62.07
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services CurrentSince Mar 18, 2019 Accepting new patients
Tri-County Emergency Physicians LLC CurrentSince Oct 1, 2017 Accepting new patients
Susquehanna Physician Services CurrentSince Mar 18, 2019 Accepting new patients
Singh Physicians Past Accepting new patients

Locations

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

145 Shaffer St
Williamsport, PA 17702
Phone (570) 326-2447

175 Pine St
Ste 200
Williamsport, PA 17701
Phone (570) 326-2447

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

Interoperability endpoints

  • Direct secure messaging: spaulhamus196072@upmc.direct-ci.com
  • Direct secure messaging: stephanie.s.paulhamus@upmcdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1154830305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PINE ST STE 200",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016549",
            "telephone_number": "570-326-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULHAMUS",
        "first_name": "STEPHANIE",
        "middle_name": "SPANGLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.