Individual provider Active NPI

Jennifer Stolfer, PA

  • Medical Physician Assistant
  • Lancaster, OH
National Provider Identifier
1467964437
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.005324RX Issued in OH
Practice address
1941 W Fair Ave
Lancaster, OH 43130-9671
Phone
(740) 689-3627
Fax
(740) 687-5898
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.005324RX OH Primary

Addresses

Primary practice location

1941 W Fair Ave
Lancaster, OH 43130-9671

Mailing address

1941 W Fair Ave
Lancaster, OH 43130-9671
Phone (740) 687-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20171206001463 OH Practitioner - Physician Assistant 7911264536 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.005324RXOHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Medical Center PastSince Jan 24, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jsielski@avfm.ssdirect.aprima.com

Organizations & group practices 2

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": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1467964437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 W FAIR AVE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309671",
            "telephone_number": "740-687-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 W FAIR AVE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309671",
            "telephone_number": "740-689-3627",
            "fax_number": "740-687-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLFER",
        "first_name": "JENNIFER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.005324RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.