Stephanie Lynn Koonce, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

6080 Issued in TN

Practice address

1415 Old Weisgarber Rd Ste 200
Knoxville, TN 37909-1341

Phone

(865) 934-5800

Fax

(865) 934-5801

NPI assigned

Jun 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, TN2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tennessee Cancer Specialists PLLCGroup PAC ID 1658358171, 69 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssander@tetoncancer.direct.varian.com

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.

• Tennessee Cancer Specialists PLLC

  • Hematology & Oncology Physician
  • Knoxville, TN
  • NPI 1841228871
  Medicare reassignment Care Compare group NPD (past)
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Medicare reassignment NPD
• Tennessee Cancer Specialist PLLC

  dba Greeneville Office

  • Hematology & Oncology Physician
  • Greeneville, TN
  • NPI 1871301358
  NPD
• Tennessee Cancer Specialists PLLC

  • Hematology & Oncology Physician
  • Morristown, TN
  • NPI 1275681421
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1609035807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E HILL AVE STE 230",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379152565",
            "telephone_number": "865-862-0998",
            "fax_number": "865-544-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 OLD WEISGARBER RD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091341",
            "telephone_number": "865-934-5800",
            "fax_number": "865-934-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONCE",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "6080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Kondrat, IBCLC
• William Konomos, MD
• Lindsey Powell Kontovich, M.ED
• Andrea Elizabeth Kooch, PA-C
• Haley Kooles, COTA
• Emily Kopek, PA
• Benjamin Joseph Kopp
• Samantha Kopp, LCSW
• Irina Kopt-Abrams, FNP-BC
• Valeriya Korchina, DO

• Medical Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.

Verify at the official NPI Registry.