Individual provider Active NPI

Olivia Stango, PA-C

  • Medical Physician Assistant
  • Exton, PA
National Provider Identifier
1629949888
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
067048 Issued in PA
Practice address
750 W Lincoln Hwy
Exton, PA 19341-2547
Phone
(610) 363-0100
Fax
(610) 363-3923
NPI assigned
Sep 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 067048 PA Primary

Addresses

Primary practice location

750 W Lincoln Hwy
Exton, PA 19341-2547

Mailing address

19 S Warner Ave
Bryn Mawr, PA 19010-2608

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
I20251011000004 PA Practitioner - Physician Assistant 7618464900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christine Meyer MD LLCGroup PAC ID 8325004492, 31 clinicians

Practice addresses (Care Compare)

676 W Lincoln Hwy
Christine Meyer MD and Associates
Exton, PA 19341-2514
Phone (610) 363-0100

680 W Lincoln Hwy
Exton, PA 19341-2514
Phone (610) 363-0100

750 W Lincoln Hwy
Exton, PA 19341-2547
Phone (610) 363-0100

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
067048PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Meyer MD LLC Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients

Locations

750 W Lincoln Hwy
Exton, PA 19341
Phone (610) 363-0100

Organizations & group practices 1

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1629949888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 S WARNER AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W LINCOLN HWY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412547",
            "telephone_number": "610-363-0100",
            "fax_number": "610-363-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGO",
        "first_name": "OLIVIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "067048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.