Individual provider Active NPI

Stacey Stowers Heppert, PA

  • Physician Assistant
  • Fuquay Varina, NC
National Provider Identifier
1477539781
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102397 Issued in NC
Practice address
431 N Judd Pkwy NE
Fuquay Varina, NC 27526-2374
Phone
(919) 552-2292
Fax
(919) 557-7668
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Network LLC 985 clinicians

Practice addresses (Care Compare)

37 Pineville Blvd
Clayton, NC 27527-9355

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

  • Well Care Home Health of the Southern Triangle, Inc. Home health agency, Holly Springs, NC, CCN 347336
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • Johnston Health Hospital, Smithfield, NC, CCN 340090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050901000331 NC Practitioner - Physician Assistant 6608808449 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102397NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince Oct 3, 2022 Accepting new patients
Unc Physicians Network LLC CurrentSince Oct 3, 2022 Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

37 Pineville Blvd
#101
Clayton, NC 27527
Phone (984) 215-5040

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 102397 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

431 N Judd Pkwy NE
Fuquay Varina, NC 27526-2374

Mailing address

3 Eden Dr
Smithfield, NC 27577-4804
Phone (919) 919-9897

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477539781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EDEN DR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774804",
            "telephone_number": "919-919-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 N JUDD PKWY NE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262374",
            "telephone_number": "919-552-2292",
            "fax_number": "919-557-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPPERT",
        "first_name": "STACEY",
        "middle_name": "STOWERS",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

Verify at the official NPI Registry.