Individual provider Active NPI

Stephanie Jane Oertel, PA

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1164933750
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA065773 Issued in PA
Practice address
107 Gamma Dr Ste 120
Pittsburgh, PA 15238-2917
Phone
(412) 782-2302
NPI assigned
Oct 23, 2017
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 MA065773 PA Primary

Addresses

Primary practice location

107 Gamma Dr Ste 120
Pittsburgh, PA 15238-2917

Mailing address

107 Gamma Dr Ste 120
Pittsburgh, PA 15238-2917
Phone (412) 782-2302

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
I20250211001789 PA Practitioner - Physician Assistant 0143750851 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
Advanced Dermatology of Pennsylvania, PCGroup PAC ID 5799091690, 29 clinicians

Practice addresses (Care Compare)

107 Gamma Dr
Suite 120
Pittsburgh, PA 15238-2917
Phone (412) 782-2302

1220 Lincoln Way
Suite 101
White Oak, PA 15131-1642
Phone (412) 678-8806

350 3Rd St
Beaver, PA 15009-2261
Phone (724) 774-5255

525 Jamestown St
Suite 206
Philadelphia, PA 19128-1751
Phone (215) 482-7546

631 Airport Rd
Suite 100
Hazle Township, PA 18202-3379
Phone (570) 454-7548

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatological Associates PC PastSince Nov 5, 2007 Accepting new patients
Milstein Dermatology LLC PastSince Oct 19, 2013 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1164933750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GAMMA DR STE 120",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382917",
            "telephone_number": "412-782-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GAMMA DR STE 120",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382917",
            "telephone_number": "412-782-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OERTEL",
        "first_name": "STEPHANIE",
        "middle_name": "JANE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.