Individual provider Active NPI

Carrie Ann Stubenhofer, FNP-C

  • Nurse Practitioner
  • Meadville, PA
National Provider Identifier
1710559752
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP023987 Issued in PA
Practice address
765 Liberty St Ste 105
Meadville, PA 16335-2567
Phone
(814) 373-2310
Fax
(814) 373-2313
NPI assigned
Jul 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP023987 PA Primary

Addresses

Primary practice location

765 Liberty St Ste 105
Meadville, PA 16335-2567

Mailing address

1528 Westwood Dr
Erie, PA 16505-5503
Phone (814) 397-0806

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
I20220215000175 PA Practitioner - Nurse Practitioner 2769875772 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians
Doctors of Emergency Medicine of Illinois III, LLCGroup PAC ID 4789121989, 22 clinicians

Practice addresses (Care Compare)

751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5155

765 Liberty St
Suite 105
Meadville, PA 16335-2567
Phone (814) 373-2310

Hospital & facility affiliations

  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113
  • Titusville Area Hospital Hospital, Titusville, PA, CCN 391314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Consultants in Cardiovascular Diseases CurrentSince Feb 20, 2023 Accepting new patients
Meadville Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Meadville Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Oncology Hematology Association CurrentSince Dec 5, 2022 Accepting new patients
Doctors of Emergency Medicine of Illinois III, LLC CurrentSince Jul 1, 2024 Accepting new patients
Oncology Hematology Association Inc CurrentSince Dec 5, 2022 Accepting new patients
Meadville Physician Services Nurse Practitioner CurrentSince Apr 1, 2025 Accepting new patients
St Vincent Medical Education and Research Institute Inc PastSince Jun 29, 2025 Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

2315 Myrtle St
Ste 190
Erie, PA 16502
Phone (814) 453-7767

2314 Sassafras St
Ste 2
Erie, PA 16502
Phone (814) 452-5105

2500 W 12th St
Erie, PA 16505
Phone (814) 838-9000

765 Liberty St
Ste 105
Meadville, PA 16335
Phone (814) 373-2310

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

751 Liberty St
Ste G19
Meadville, PA 16335
Phone (814) 333-5405

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

Organizations & group practices 27

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.

View all 27

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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1710559752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 WESTWOOD DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165055503",
            "telephone_number": "814-397-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 LIBERTY ST STE 105",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352567",
            "telephone_number": "814-373-2310",
            "fax_number": "814-373-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBENHOFER",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP023987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.