Individual provider Active NPI

Stella Wong, PA-C

  • Physician Assistant
  • Frederick, MD
National Provider Identifier
1861265688
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009128 Issued in MD
Practice address
63 Thomas Johnson Dr Ste B
Frederick, MD 21702-4396
Phone
(304) 698-2424
Fax
(301) 698-1018
NPI assigned
Nov 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0009128 MD Primary

Addresses

Primary practice location

63 Thomas Johnson Dr Ste B
Frederick, MD 21702-4396

Mailing address

63 Thomas Johnson Dr Ste B
Frederick, MD 21702-4396
Phone (301) 698-2424

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251217002111 MD Practitioner - Physician Assistant 1254770860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael R. Warner MdpaGroup PAC ID 5496648065, 6 clinicians

Practice addresses (Care Compare)

63 Thomas Johnson Dr
Suite B
Frederick, MD 21702-4396
Phone (301) 698-2424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0009128MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michael R. Warner Mdpa CurrentSince Oct 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Potomac Oncology & Hematology, LLC PastSince Apr 14, 2024 Accepting new patients

Locations

63 Thomas Johnson Dr
Ste B
Frederick, MD 21702
Phone (301) 571-4334

Organizations & group practices 3

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": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1861265688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 THOMAS JOHNSON DR STE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024396",
            "telephone_number": "301-698-2424",
            "fax_number": "301-698-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 THOMAS JOHNSON DR STE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024396",
            "telephone_number": "304-698-2424",
            "fax_number": "301-698-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "STELLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.