Stefanie Nikoloas Xenakis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-07322 Issued in NC

Practice address

2080 Energy Dr
Apex, NC 27502-8722

Phone

(919) 328-5573

Fax

(984) 235-1617

NPI assigned

Jun 21, 2017

Last updated

Oct 31, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Wake Forest University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Carolina Neuropsychiatry PAGroup PAC ID 4789643982, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• North Carolina Neuropsychiatry, P.a.

  • Child & Adolescent Psychiatry Physician
  • Chapel Hill, NC
  • NPI 1265403042
  Medicare reassignment Care Compare group
• North Carolina Neuropsychiatry, P.a.

  • Psychiatry Physician
  • Apex, NC
  • NPI 1003432121
  NPD
• Raleigh Durham Medical Group PA

  • Family Medicine Physician
  • Cary, NC
  • NPI 1295784874
  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1801316831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 ENERGY DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028722",
            "telephone_number": "919-328-5573",
            "fax_number": "984-235-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 ENERGY DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028722",
            "telephone_number": "919-328-5573",
            "fax_number": "984-235-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XENAKIS",
        "first_name": "STEFANIE",
        "middle_name": "NIKOLOAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Apex, NC
• Providers in Apex, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.