Stephanie Konstandena Yianitsas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4441 W Airport Fwy Ste 215
Irving, TX 75062-5959

Phone

(469) 440-2667

NPI assigned

Jun 23, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iconiq Spine and Orthopaedic Center, PLLCGroup PAC ID 3476902719, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Iconiq Spine & Orthopaedic Center PLLC

  • Interventional Pain Medicine Physician
  • Irving, TX
  • NPI 1578279238
  Medicare reassignment Care Compare group
• Iconiq Spine & Orthopaedic Center PLLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
  • NPI 1982440426
  NPD (past)

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1215824040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 W AIRPORT FWY STE 215",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625959",
            "telephone_number": "214-755-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 W AIRPORT FWY STE 215",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625959",
            "telephone_number": "469-440-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5655 W Spring Creek Pkwy Ste 115",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750244175",
            "country_code": "US",
            "telephone_number": "469-526-5170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIANITSAS",
        "first_name": "STEPHANIE",
        "middle_name": "KONSTANDENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Min-Hsun Yau, M.D.
• Jocelyn Ybarra, MSN, RN, AGACNP-BC
• Raphael Ye, DO
• Yes Dental
• Yes to Perfect Health Inc
• Yuching Ellie Yin, P.A.-C.
• Paula Yoder, BAHAVIOR ASSISTANT
• Ji Yoon Yoon, M.D.
• Christina Denice York, PH.D.
• Glenn York

• Physician Assistant in Irving, TX
• Providers in Irving, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; 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.

Verify at the official NPI Registry.