Active NPI
Stacey Stowers Heppert, PA
- Physician Assistant
- Fuquay Varina, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102397
- 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.
-
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
-
- Family Medicine Physician
- Fuquay Varina, NC
- NPI 1295711513
-
- Pediatrics Physician
- Durham, NC
- NPI 1578987848
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Smithfield, NC
- NPI 1619911104
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
Care Compare affiliation Hospital -
- Home Health Agency
- Holly Springs, NC
- NPI 1508418005
Care Compare affiliation Home health agency
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
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.
- Rex Hospital
- Johnston Health
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 102397 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102397 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.