Staci Lea Cohen Ambrose, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1407 York Rd Ste 100a
Lutherville, MD 21093-6077

Phone

(410) 252-9090

NPI assigned

Apr 7, 2021

Last updated

Aug 13, 2026By 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 MD

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

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Care Specialty Physicians LLCGroup PAC ID 6608978622, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Skin Care Specialty Physicians, LLC

  • MOHS-Micrographic Surgery Physician
  • Lutherville, MD
  • NPI 1477641447
  Medicare reassignment Care Compare group
• Sinai Hospital of Baltimore Inc

  • Surgical Critical Care Physician
  • Baltimore, MD
  • NPI 1043235666
  Medicare reassignment
• Sinai Hospital of Baltimore Inc

  • Vascular & Interventional Radiology Physician
  • Baltimore, MD
  • NPI 1568548329
  NPD
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204
  NPD
• Mohs and Skin Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lutherville, MD
  • NPI 1124492996
  NPD (past)

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1851970610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 YORK RD STE 100A",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936077",
            "telephone_number": "410-601-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 YORK RD STE 100A",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936077",
            "telephone_number": "410-252-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "STACI",
        "middle_name": "LEA COHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Alleman, LCSW-C, LCADC
• Cree Shahtae Allen
• Alluvion Counseling, LLC
• Jaclyn M Altebrando, LGPC
• Veronica Altvater, LCPC
• Ambulatory Surgery Center for Pelvic Neuro Science LLC
• Amg Lab and Diagnostics
• Akshay Narendra Amin, MD
• Ashley Amoia
• Joana Aforo Amponsah, CRNP

• Physician Assistant in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.