Individual provider Active NPI

Stephnie Igiede

  • Physician Assistant
  • Fall River, MA
National Provider Identifier
1407641905
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
277 Pleasant St Ste 202
Fall River, MA 02721-3005
Phone
(774) 357-0506
Fax
(508) 235-1034
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 MA Primary

Addresses

Primary practice location

277 Pleasant St Ste 202
Fall River, MA 02721-3005

Mailing address

277 Pleasant St Ste 202
Fall River, MA 02721-3005
Phone (774) 357-0506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250515001684 MA Practitioner - Physician Assistant 2163940958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

277 Pleasant St
Fall River, MA 02721-3005

289 Pleasant St
Fall River, MA 02721-3005

67 Slade'S Ferry Boulevard
Somerset, MA 02726-1220
Phone (508) 676-3292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Jun 23, 2025 Accepting new patients
Prima Care, PC CurrentSince Jun 23, 2025 Accepting new patients

Locations

277 Pleasant St
Ste 202
Fall River, MA 02721
Phone (508) 235-0481

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

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.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1407641905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 PLEASANT ST STE 202",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "774-357-0506",
            "fax_number": "508-235-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 PLEASANT ST STE 202",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "774-357-0506",
            "fax_number": "508-235-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGIEDE",
        "first_name": "STEPHNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.