Individual provider Active NPI

Zane Stampfly, PA-C

  • Physician Assistant
  • Portage, MI
National Provider Identifier
1316466345
Registry record updated Apr 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008359 Issued in MI
Practice address
7775 Angling Rd
Portage, MI 49024-7427
Phone
(269) 324-8670
Fax
(269) 321-7154
NPI assigned
Sep 11, 2017
Last updated
Apr 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MI
Physician Assistant 363A00000X 5601008359 MI Primary

Addresses

Primary practice location

7775 Angling Rd
Portage, MI 49024-7427

Mailing address

7775 Angling Rd
Portage, MI 49024-7427
Phone (269) 324-8670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20171018000982 MI Practitioner - Physician Assistant 8224304381 Reassigns benefits to 2 organizations

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
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

7775 Angling Rd
Portage, MI 49024-7427
Phone (269) 321-7120

7901 Angling Rd
Portage, MI 49024-0714

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601008359MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Methodist Hospital Physician Assistant CurrentSince Oct 27, 2017 Accepting new patients
Promed Healthcare CurrentSince Nov 17, 2019 Accepting new patients
Beacon Medical Group Michigan Inc CurrentSince Nov 17, 2019 Accepting new patients

Locations

1717 Shaffer St
Ste 002
Kalamazoo, MI 49048

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste M-318
Kalamazoo, MI 49007
Phone (269) 345-6197

7775 Angling Rd
Portage, MI 49024
Phone (269) 321-7120

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Interoperability endpoints

  • Direct secure messaging: zstampfly94447@direct.bronsonhg.org

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.

Hospital & facility affiliations 4

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": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585958400000",
    "number": "1316466345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7775 ANGLING RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247427",
            "telephone_number": "269-324-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7775 ANGLING RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247427",
            "telephone_number": "269-324-8670",
            "fax_number": "269-321-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPFLY",
        "first_name": "ZANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-11",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.