Active NPI
Stephanie Marie Pierce, P.A.
- Surgical Physician Assistant
- Casper, WY
National Provider Identifier
1255768644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- TL581
- Practice address
- 6600 E 2ND St
Central Wyoming Neurosurgery
Casper, WY 82609 - Phone
- (307) 266-4000
- Fax
- (307) 473-6793
- NPI assigned
- Oct 1, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA.0001733 | CO | |
| Surgical Physician Assistant | 363AS0400X | TL581 | WY | Primary |
Addresses
Primary practice location
6600 E 2ND St
Central Wyoming Neurosurgery
Casper, WY 82609
Mailing address
6600 E 2ND St
Central Wyoming Neurosurgery
Casper, WY 82609-4348
Phone (307) 266-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients |
Locations
8200 E Belleview Ave
Ste 400E
Greenwood Village, CO 80111
Phone (303) 790-2225
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Arvada, CO
- NPI 1306946728
-
- Orthopaedic Surgery Physician
- Greenwood Village, CO
- NPI 1245911742
-
- Urology Physician
- Lakewood, CO
- NPI 1942165626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1255768644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 E 2ND ST",
"address_2": "CENTRAL WYOMING NEUROSURGERY",
"city": "CASPER",
"state": "WY",
"postal_code": "826094348",
"telephone_number": "307-266-4000",
"fax_number": "307-473-6793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 E 2ND ST",
"address_2": "CENTRAL WYOMING NEUROSURGERY",
"city": "CASPER",
"state": "WY",
"postal_code": "82609",
"telephone_number": "307-266-4000",
"fax_number": "307-473-6793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "PA.0001733",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WY",
"license": "TL581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.