Individual provider Active NPI

Stephanie R Mabie, PA-C

  • Physician Assistant
  • Martinsburg, WV
National Provider Identifier
1659711679
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2575 Issued in WV
Practice address
156 Health Care LN
Martinsburg, WV 25401-4009
Phone
(304) 264-0704
Fax
(304) 264-0804
NPI assigned
Jul 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA056192 PA
Physician Assistant 363A00000X 2575 WV Primary

Addresses

Primary practice location

156 Health Care LN
Martinsburg, WV 25401-4009

Mailing address

2500 Foundation Way
Martinsburg, WV 25401-9000
Phone (304) 264-9202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20220216000807 WV Practitioner - Physician Assistant 1153565338 Reassigns benefits to 2 organizations
I20260305000320 MD Practitioner - Physician Assistant 1153565338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2575WVMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Premiere Spine and Sports Medicine LLC CurrentSince Jan 6, 2026 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
University Healthcare Physicians, Inc. Physician Assistant CurrentSince Jan 9, 2022 Accepting new patients

Locations

13114 Pennsylvania Ave
Hagerstown, MD 21742
Phone (240) 313-3310

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

156 Health Care Ln
Martinsburg, WV 25401
Phone (304) 264-0704

2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGCDDD
  • FHIR API: https://api.platform.athenahealth.com/16159/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1659711679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FOUNDATION WAY",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019000",
            "telephone_number": "304-264-9202",
            "fax_number": "304-264-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 HEALTH CARE LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014009",
            "telephone_number": "304-264-0704",
            "fax_number": "304-264-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABIE",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA056192",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.