Debra Statz

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110006749 Issued in VA

Practice address

101 Philip Roth St
Newport News, VA 23606-1393

Phone

(757) 599-6333

Fax

(757) 591-7261

NPI assigned

Mar 28, 2019

Last updated

Nov 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Eastern Virginia Medical School, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052

Merit-based Incentive Payment System (MIPS)

Final score

94.91 of 100Reported as apm

Quality

92.86

Promoting interoperability

94.93

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Riverside Physician Services Inc

  dba Riverside Gastroenterology Specialists

  • Gastroenterology Physician
  • Newport News, VA
  • NPI 1194929026
  Medicare reassignment Care Compare group
• Capital Digestive Care ,LLC

  • Gastroenterology Physician
  • Williamsburg, VA
  • NPI 1992752521
  Medicare reassignment
• Capital Digestive Care ,LLC

  • Gastroenterology Physician
  • Suffolk, VA
  • NPI 1760541460

  Physician Assistant

  NPD
• Riverside Physician Services Inc

  dba Riverside Gastroenterology Specialists Williamsburg

  • Gastroenterology Physician
  • Williamsburg, VA
  • NPI 1083867311
  NPD
• Riverside Physicians Services Inc

  dba Riverside Urology Specialists Smithfield

  • Urology Physician
  • Smithfield, VA
  • NPI 1447339288
  NPD
• Capital Digestive Care, LLC

  • Gastroenterology Physician
  • Temple Hills, MD
  • NPI 1437997988
  NPD
• Riverside Physician Services Inc

  dba Bruton Avenue Family Practice

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1013933977
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Riverside Hospital Inc

  dba Riverside Regional Medical Center

  • General Acute Care Hospital
  • Newport News, VA
  • NPI 1366547747
  Care Compare affiliation

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1396206710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PHILIP ROTH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061393",
            "telephone_number": "757-599-6333",
            "fax_number": "757-591-7261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11803 Jefferson Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064390",
            "country_code": "US",
            "telephone_number": "757-534-7701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Sentara Cir Ste 103",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885716",
            "country_code": "US",
            "telephone_number": "757-534-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATZ",
        "first_name": "DEBRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-006749",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Star Private Care Services, LLC.
• Kirsten Starr, LPC
• Alexandra Marie Staton, LPC-R
• Erica Staton, LPC
• Melinda Staton, LPC
• Dewey Steele, PA-C
• Eashan Stefanski
• Carol Marie Steiner, MD
• Step Up to Power
• Ilene Forrest Stephan, M.D.

• Physician Assistant in Newport News, VA
• Providers in Newport News, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.