Individual provider Active NPI

Stacey B. Pearlman, PA

  • Physician Assistant
  • McKinney, TX
National Provider Identifier
1770544199
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03099 Issued in TX
Practice address
7401 Round Hill Rd
McKinney, TX 75072-5747
Phone
(972) 832-7440
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X 1790 MA
Physician Assistant 363A00000X PA03099 TX Primary

Addresses

Primary practice location

7401 Round Hill Rd
McKinney, TX 75072-5747

Mailing address

7401 Round Hill Rd
McKinney, TX 75072-5747
Phone (972) 832-7440

Other identifiers 2

IdentifierTypeStateIssuer
218994602MedicaidTX
218994601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040330001321 TX Practitioner - Physician Assistant 2365334620 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Communitymed PLLCGroup PAC ID 9830315126, 46 clinicians

Practice addresses (Care Compare)

11350 US Hwy 380
Suite 100a
Crossroads, TX 76227-8319
Phone (844) 464-1611

3210 Midwestern Pkwy
Suite 500a
Wichita Falls, TX 76308-2860
Phone (940) 488-4616

3591 McKinney St
Suite 400a
Melissa, TX 75454-9571
Phone (972) 464-1611

670 W Princeton Dr
Suite 400a
Princeton, TX 75407-9135
Phone (972) 699-5250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1790MAMDChiropractor
PA03099TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Pulmonary Consultants PLLC CurrentSince Jan 3, 2018 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Past Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

12200 Park Central Dr
Ste 100
Dallas, TX 75251
Phone (469) 804-8323

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1770544199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 ROUND HILL RD",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750725747",
            "telephone_number": "972-832-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 ROUND HILL RD",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750725747",
            "telephone_number": "972-832-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARLMAN",
        "first_name": "STACEY",
        "middle_name": "B.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "1790",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218994602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218994601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.