Individual provider Active NPI

Stefanie Michelle Herrmann, PA

  • Physician Assistant
  • Bethel Park, PA
National Provider Identifier
1306196191
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055702 Issued in PA
Practice address
2000 Oxford Dr Ste 405
Bethel Park, PA 15102-1841
Phone
(724) 228-4011
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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 MA055702 PA Primary

Addresses

Primary practice location

2000 Oxford Dr Ste 405
Bethel Park, PA 15102-1841

Mailing address

1000 Bower Hill Road
St Clair Hospital - Affiliate Billing - Pamalyn
Pittsburgh, PA 15243-1873
Phone (412) 924-2548

Other practice location 1

3928 Washington Rd Ste 270
Canonsburg, PA 15317-2593
Phone (724) 228-4011

Other practice location 2

1050 Bower Hill Rd Ste 203
Pittsburgh, PA 15243-1868
Phone (724) 228-4011

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)

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
I20121107000288 PA Practitioner - Physician Assistant 4587815154 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services Inc CurrentSince Jan 1, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 7, 2015 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 7, 2015 Accepting new patients
St Clair Medical Services, Inc. Physician Assistant CurrentSince Jan 1, 2020 Accepting new patients

Locations

2000 Oxford Dr
Ste 405
Bethel Park, PA 15102
Phone (412) 942-6300

3928 Washington Rd
Ste 270
McMurray, PA 15317
Phone (412) 429-8840

1050 Bower Hill Rd
Ste 203
Pittsburgh, PA 15243
Phone (412) 443-3693

3471 5th Ave
Ste 1010
Pittsburgh, PA 15213
Phone (412) 605-3254

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

1000 Bower Hill Rd
Ste 7300
Pittsburgh, PA 15243
Phone (412) 942-7262

200 Lothrop St
#9055
Pittsburgh, PA 15213
Phone (412) 347-3087

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1306196191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL ROAD",
            "address_2": "ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-924-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR STE 405",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021841",
            "telephone_number": "724-228-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3928 Washington Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Canonsburg",
            "state": "PA",
            "postal_code": "153172593",
            "country_code": "US",
            "telephone_number": "724-228-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Bower Hill Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152431868",
            "country_code": "US",
            "telephone_number": "724-228-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "STEFANIE",
        "middle_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "2000 Oxford Dr Ste 405",
            "city": "Bethel Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151021841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "3928 Washington Rd Ste 270",
            "city": "Canonsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153172593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "1050 Bower Hill Rd Ste 203",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.