Individual provider Active NPI

Jennifer L Stoeber, M.D.

  • Emergency Medicine Physician
  • Boone, NC
National Provider Identifier
1669694402
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
155872 Issued in NC
Practice address
336 Deerfield Rd
Boone, NC 28607-5008
Phone
(828) 262-4100
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 001778 GA
Emergency Medicine Physician 207P00000X 155872 NC Primary

Addresses

Primary practice location

336 Deerfield Rd
Boone, NC 28607-5008

Mailing address

336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090822000189 NC Practitioner - Emergency Medicine 4880748060 Reassigns benefits to 2 organizations
I20240917003925 IL Practitioner - Emergency Medicine 4880748060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical University of South Carolina College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statera Health Care LLCGroup PAC ID 0244565729, 41 clinicians
Wake Forest Emergency ProvidersGroup PAC ID 7012819816, 497 clinicians

Practice addresses (Care Compare)

28 Chick St
Metropolis, IL 62960-2467
Phone (618) 427-2680

336 Deerfield Rd
Boone, NC 28607-5008
Phone (336) 716-2255

Hospital & facility affiliations

  • Massac Memorial Hospital Hospital, Metropolis, IL, CCN 141323
  • Harrisburg Medical Center Hospital, Harrisburg, IL, CCN 140210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
155872NCMDEmergency Medicine Physician
001778GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Medical Associates, Inc. CurrentSince Jan 17, 2012 Accepting new patients
Wake Forest Emergency Providers CurrentSince Sep 11, 2019 Accepting new patients
Statera Health Care, LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

28 Chick St
Metropolis, IL 62960
Phone (618) 427-2680

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: jstoeber566151@direct.unc.nchie.net
  • Direct secure messaging: jstoeber80111@sih.direct-ci.com

Organizations & group practices 3

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1669694402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 DEERFIELD RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075008",
            "telephone_number": "828-262-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 DEERFIELD RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075008",
            "telephone_number": "828-262-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOEBER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "001778",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "155872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.