Individual provider Active NPI

Stephen Michael Verona, PA-C

  • Physician Assistant
  • Bellefonte, PA
National Provider Identifier
1487213757
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
174 Buckaroo LN
Bellefonte, PA 16823-9119
Phone
(814) 353-1030
NPI assigned
Jun 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

174 Buckaroo LN
Bellefonte, PA 16823-9119

Mailing address

303 Farmstead LN Apt 21
State College, PA 16803-2520
Phone (814) 591-4929

Other practice location 1

217 S Logan Blvd
Burnham, PA 17009-1825
Phone (717) 242-2711

Other practice location 2

400 Highland Ave
Lewistown, PA 17044-1167
Phone (717) 248-5411

Other practice location 3

100 N Academy Ave
Danville, PA 17822-9800
Phone (717) 242-2711

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL Epic
Direct Messaging Address sjohnson192056@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190830000022 PA Practitioner - Physician Assistant 5395073258 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Sep 16, 2019 Accepting new patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Mar 22, 2021 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jun 20, 2024 Accepting new patients
Family Health Associates of Lewistown CurrentSince Jan 1, 2020 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant CurrentSince Mar 21, 2020 Accepting new patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Mar 22, 2021 Accepting new patients
Geisinger Clinic CurrentSince Sep 16, 2019 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jun 20, 2024 Accepting new patients

Locations

174 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030

100 N Academy Ave
Danville, PA 17822

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

27 Sandy Ln
Ste 140
Lewistown, PA 17044
Phone (717) 242-2711

400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

Interoperability endpoints

  • Direct secure messaging: sjohnson192056@direct.geisinger.edu

Organizations & group practices 16

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.

View all 16

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger Clinic 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

1630 N Atherton St
State College, PA 16803-1416
Phone (814) 238-1279

226 Buckaroo Lane
Bellefonte, PA 16823-9120
Phone (814) 353-3519

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1487213757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 FARMSTEAD LN APT 21",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032520",
            "telephone_number": "814-591-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BUCKAROO LN",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168239119",
            "telephone_number": "814-353-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 S Logan Blvd",
            "address_purpose": "LOCATION",
            "city": "Burnham",
            "state": "PA",
            "postal_code": "170091825",
            "country_code": "US",
            "telephone_number": "717-242-2711",
            "fax_number": "717-248-0502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Lewistown",
            "state": "PA",
            "postal_code": "170441167",
            "country_code": "US",
            "telephone_number": "717-248-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178229800",
            "country_code": "US",
            "telephone_number": "717-242-2711",
            "fax_number": "717-248-0502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERONA",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "endpointDescription": "EMR System used by Geisinger",
            "address_1": "400 Highland Ave",
            "city": "Lewistown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170441167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjohnson192056@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "217 S Logan Blvd",
            "city": "Burnham",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170091825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellefonte, PA

Sources for this page

Verify at the official NPI Registry.