Stephanie Forsman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5447 Issued in TN

Practice address

312 Prince St
Sevierville, TN 37862-3823

Phone

(865) 774-7684

NPI assigned

Mar 1, 2023

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stephanie.forsman.1@15627.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15627/brand/1/csg/1/fhir/r4

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.

• Family Medicine West PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1083962815
  NPD (past)
• Mountain Hope Good Shepherd Clinic

  • Primary Care Clinic/Center
  • Sevierville, TN
  • NPI 1477824241
  NPD (past)

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1689373482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 LEYTON DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379231639",
            "telephone_number": "404-520-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 PRINCE ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623823",
            "telephone_number": "865-774-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSMAN",
        "first_name": "STEPHANIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "5447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Flick, FNP-C
• Rachelle Vanessa Folino, MFT
• Foothills Physical Therapy of Sevierville
• Lindsey Brooke Ford, LAT, ATC, MBA
• Forge Point Therapeutic Services, PLLC
• Logan Glenn Foshie
• James William Foster, M.D.
• Dean Fox
• Ian Frazier, BA
• Douglas B Freels, M.D.

• Medical Physician Assistant in Sevierville, TN
• Providers in Sevierville, 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 Mar 1, 2023; 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.

Verify at the official NPI Registry.