Active NPI
Stephanie T. Packard, PA-C
- Physician Assistant
- Lancaster, PA
National Provider Identifier
1619029865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA055322
- Practice address
- 555 North Duke St.
Lancaster, PA 17602 - Phone
- (717) 544-4978
- Fax
- (717) 544-7043
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C02760 | MD | |
| Medical Physician Assistant | 363AM0700X | MA055322 | PA | |
| Physician Assistant | 363A00000X | MA055322 | PA | Primary |
Addresses
Primary practice location
555 North Duke St.
Lancaster, PA 17602
Mailing address
555 North Duke St.
Lancaster, PA 17602
Phone (717) 544-4978
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00138853 | Other | MD | RAILROAD MED |
| 2682762 | Other | PA | HIGHMARK BLUE SHIELD-FREEDOM BLUE |
| 1604209 | Other | PA | GATEWAY MEDICARE ASSURED |
Other names 1
- Ms. Stephanie T. Singer
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C02760 | MD | MD | Physician Assistant |
| MA055322 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reading Hospital | Current | Accepting new patients | |
| Reading Hospital | Current | Accepting new patients | |
| Wellspan Medical Group | Past | Accepting new patients | |
| Medlantic Healthcare Group | Past | Accepting new patients |
Locations
206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- West Chester, PA
- NPI 1023044278
-
- Emergency Medicine Physician
- Lancaster, PA
- NPI 1740268184
-
- Radiation Oncology Physician
- West Reading, PA
- NPI 1992387518
-
- Surgery Physician
- West Reading, PA
- NPI 1457907198
-
- Community/Retail Pharmacy
- Limerick, PA
- NPI 1487468914
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1467408450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1619029865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 NORTH DUKE ST.",
"city": "LANCASTER",
"state": "PA",
"postal_code": "17602",
"telephone_number": "717-544-4978",
"fax_number": "717-544-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 NORTH DUKE ST.",
"city": "LANCASTER",
"state": "PA",
"postal_code": "17602",
"telephone_number": "717-544-4978",
"fax_number": "717-544-7043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACKARD",
"first_name": "STEPHANIE",
"middle_name": "T.",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C02760",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA055322",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA055322",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MED",
"identifier": "P00138853",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD-FREEDOM BLUE",
"identifier": "2682762",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY MEDICARE ASSURED",
"identifier": "1604209",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "SINGER",
"middle_name": "T.",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.