Active NPI
Stephanie Kwasniewski, PA-C
- Physician Assistant
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110001816
- Practice address
- 8040 W Broad St
Richmond, VA 23294-4218 - Phone
- (804) 346-0927
- NPI assigned
- Jun 26, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103991 | NC | |
| Physician Assistant | 363A00000X | 0110001816 | VA | Primary |
Addresses
Primary practice location
8040 W Broad St
Richmond, VA 23294-4218
Mailing address
423 Fortress Boulevard
Morgantown, WV 26508
Phone (304) 225-2500
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Drexel University College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
104 Carolina Ave
Brookneal, VA 24528-2643
Phone (434) 376-2325
16890 Forest Rd
Forest, VA 24551-4059
Phone (434) 200-7210
1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033
291 McBride LN
Gretna, VA 24557-2773
Phone (434) 656-1274
915 S Main St
Farmville, VA 23901-2211
Phone (434) 414-3978
935 S Main St
Farmville, VA 23901-2211
Phone (434) 315-5340
Hospital & facility affiliations
- Centra Health - Lynchburg Gen Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.16 of 100
- Quality
- 83.58
- Promoting interoperability
- 94
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103991 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centra Medical Group, LLC | Current | Accepting new patients | |
| Williamsburg Emergency Physicians | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Virginia | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Virginia | Current | Accepting new patients | |
| Centra Health Professional Services, LLC | Current | Accepting new patients | |
| Loon Emergency Physicians LLC | Past | Accepting new patients | |
| Virginia Emergency Physicians LLP | Past | Accepting new patients | |
| Virginia Emergency Physicians LLP | Past | Accepting new patients | |
| Virginia Emergency Physicians LLP | Physician Assistant | Past | Accepting new patients |
| Virginia Emergency Physicians LLP | Physician Assistant | Past | Accepting new patients |
| Columbia Healthcare of Central Virginia Inc | Past | Accepting new patients | |
| Virginia Emergency Physicians LLP | Physician Assistant | Past | Accepting new patients |
Locations
1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040
1280A Main St
Altavista, VA 24517
Phone (434) 309-1165
1613 Oakwood St
Ste 201
Bedford, VA 24523
Phone (540) 586-4723
104 Carolina Ave
Brookneal, VA 24528
Phone (434) 376-2325
412 Namozine St
Burkeville, VA 23922
Phone (434) 767-4822
414 Park Ave
Danville, VA 24541
Phone (434) 791-4892
65 Brickyard Dr
Dillwyn, VA 23936
Phone (434) 414-1021
935 S Main St
Farmville, VA 23901
Phone (434) 315-5340
16890 Forest Rd
Forest, VA 24551
Phone (434) 200-7210
140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297
291 McBride Ln
Gretna, VA 24557
Phone (434) 200-4030
312 King St
Keysville, VA 23947
Phone (434) 315-2920
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
125 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 200-3908
4830 Rucker Rd
Moneta, VA 24121
Phone (540) 297-7181
8040 W Broad St
Richmond, VA 23294
Phone (804) 346-0927
1336 W Main St
Salem, VA 24153
Phone (540) 389-0374
100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826
423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510
Organizations & group practices 14
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
- Lynchburg, VA
- NPI 1649228966
-
- Urgent Care Clinic/Center
- Bluefield, VA
- NPI 1215219878
-
- Emergency Medicine Physician
- Williamsburg, VA
- NPI 1225079650
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lynchburg, VA
- NPI 1407884448
-
- Urgent Care Clinic/Center
- Richmond, VA
- NPI 1124573514
-
- Urgent Care Clinic/Center
- Richmond, VA
- NPI 1225563679
-
- Emergency Care Clinic/Center
- Williamsburg, VA
- NPI 1942585310
-
- Plastic Surgery Physician
- Richmond, VA
- NPI 1417946450
-
- Emergency Medicine Physician
- Mechanivsville, VA
- NPI 1063832293
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1134475999
-
- Emergency Medicine Physician
- Farmville, VA
- NPI 1225346539
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1245255264
Physician Assistant
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lynchburg, VA
- NPI 1770693939
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lynchburg, VA
- NPI 1407884448
Hospital
-
- Pain Medicine (Anesthesiology) Physician
- Lynchburg, VA
- NPI 1811925852
Hospital
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Lynchburg, VA
- NPI 1902834948
Hospital
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lynchburg, VA
- NPI 1184964124
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1417984675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 FORTRESS BOULEVARD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26508",
"telephone_number": "304-225-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8040 W BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232944218",
"telephone_number": "804-346-0927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWASNIEWSKI",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103991",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110001816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.