Individual provider Active NPI

Jillian Leigh Stauffer, PA-C

  • Medical Physician Assistant
  • Lansdale, PA
National Provider Identifier
1699075580
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA054717 Issued in PA
Practice address
815 Sumneytown Pike Ste 210
Lansdale, PA 19446-5390
Phone
(215) 257-5071
Fax
(215) 257-1801
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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 MA054717 PA Primary

Addresses

Primary practice location

815 Sumneytown Pike Ste 210
Lansdale, PA 19446-5390

Mailing address

815 Sumneytown Pike Ste 210
Lansdale, PA 19446-5390
Phone (215) 257-5071

Other names 1

  • Jillian Leigh Miller Former name

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
I20110202000748 PA Practitioner - Physician Assistant 7214117688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Suite 252
Wynnewood, PA 19096-3432
Phone (610) 896-7360

2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600

815 Sumneytown Pike
Lansdale, PA 19446-5390
Phone (215) 257-5071

817 Lawn Ave
Sellersville, PA 18960-1579
Phone (215) 257-5071

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince May 1, 2021 Accepting new patients
The Endoscopy Center LLC Past Accepting new patients

Locations

190 W Germantown Pike
Ste 110
East Norriton, PA 19401
Phone (215) 257-5071

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

Interoperability endpoints

  • Direct secure messaging: jstauffer@cgi.medentdirect.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 5

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": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1699075580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SUMNEYTOWN PIKE STE 210",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465390",
            "telephone_number": "215-257-5071",
            "fax_number": "215-257-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SUMNEYTOWN PIKE STE 210",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465390",
            "telephone_number": "215-257-5071",
            "fax_number": "215-257-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "JILLIAN",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "MILLER",
            "middle_name": "LEIGH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.