Active NPI
Stephanie A Citronowicz, PA-C
- Physician Assistant
- Rochester, MN
National Provider Identifier
1437583754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11394
- Practice address
- 90 14TH St SW Ste 200
Rochester, MN 55902-3822 - Phone
- (507) 280-1824
- NPI assigned
- Aug 22, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11394 | MN | Primary |
Addresses
Primary practice location
90 14TH St SW Ste 200
Rochester, MN 55902-3822
Mailing address
210 9TH St SE
Rochester, MN 55904-6756
Phone (507) 288-3443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 4TH St SE
Rochester, MN 55904-4717
Hospital & facility affiliations
- Olmsted Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olmsted Medical Center | Past | Accepting new patients | |
| Ladd Memorial Hospital | Past | Accepting new patients |
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.
-
- Clinic/Center
- Rochester, MN
- NPI 1952356297
-
- Clinic/Center
- Scandia, MN
- NPI 1700195542
-
- Clinic/Center
- Rochester, MN
- NPI 1013277789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1437583754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 9TH ST SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559046756",
"telephone_number": "507-288-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 14TH ST SW STE 200",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559023822",
"telephone_number": "507-280-1824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CITRONOWICZ",
"first_name": "STEPHANIE",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "11394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.