Stephanie Lynn McKenney Groff, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H0094080 Issued in MD

Practice address

19710 Fisher Ave Ste J
Poolesville, MD 20837-2098

Phone

(301) 972-7600

NPI assigned

Mar 21, 2019

Last updated

Sep 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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

Specialty

Family Practice

Education

Lake Erie College of Osteopathic Medicine, Erie, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Poolesville Family Practice LLCGroup PAC ID 3072689405, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Poolesville Family Practice LLC

  • Family Medicine Physician
  • Poolesville, MD
  • NPI 1790953065

  DC

  Medicare reassignment Care Compare group NPD
• Maryland Primary Care Physicians, LLC

  • Multi-Specialty Clinic/Center
  • Annapolis, MD
  • NPI 1083667067
  Medicare reassignment NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1700346137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19710 FISHER AVE STE J",
            "city": "POOLESVILLE",
            "state": "MD",
            "postal_code": "208372098",
            "telephone_number": "301-972-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19710 FISHER AVE STE J",
            "city": "POOLESVILLE",
            "state": "MD",
            "postal_code": "208372098",
            "telephone_number": "301-972-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNEY GROFF",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0094080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adebukola Lekan-Abioye, NP
• Leonard Sax MD PHD PA (Poolesville Family Practice)
• Mary Mahoney, LCPC
• Robert Maletta
• Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy # 01797)
• MD Sleep Solutions LLC
• Robin Mevissen, OD
• Nurturing Minds Healthcare Services LLC
• Sarah Merie Paksima, MPH, MBA, CD (DONA)
• Emily E Pavlick, LCSW-C

• Family Medicine Physician in Poolesville, MD
• Providers in Poolesville, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.