Individual provider Active NPI

Karen T Stadnicki, PAC

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1861419384
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085001824 Issued in IL
Practice address
333 1St St Ste a
San Francisco, CA 94105-2661
Phone
(888) 803-3370
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61352 CA
Physician Assistant 363A00000X 028637 NY
Physician Assistant 363A00000X 9073 AZ
Physician Assistant 363A00000X 0110011223 VA
Physician Assistant 363A00000X 716223 WI
Physician Assistant 363A00000X 085001824 IL Primary

Addresses

Primary practice location

333 1St St Ste a
San Francisco, CA 94105-2661

Mailing address

333 1St St
San Francisco, CA 94105-2687
Phone (888) 803-3370

Other practice location 1

156 William St Rm 303
New York, NY 10038-5307
Phone (888) 803-3370

Other practice location 2

2800 Eisenhower Ave Ste 220
Alexandria, VA 22314-4587
Phone (888) 803-3370

Other practice location 3

9700 N 91st St Ste A115
Scottsdale, AZ 85258-5036
Phone (888) 803-3321

Other practice location 4

790 N Milwaukee St Ste 313
Milwaukee, WI 53202-4148
Phone (888) 803-3370

Other identifiers 2

IdentifierTypeStateIssuer
085001824OtherILLICENSE NUMBER
028637-01OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA, NY, DC, AZ, WI6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20040621000023 IL Practitioner - Physician Assistant 4587649074 Reassigns benefits to 3 organizations
I20240804000006 CA Practitioner - Physician Assistant 4587649074 Reassigns benefits to 1 organization
I20250508000773 NY Practitioner - Physician Assistant 4587649074 Reassigns benefits to 1 organization
I20251112000745 DC Practitioner - Physician Assistant 4587649074 Reassigns benefits to 1 organization
I20260203001524 AZ Practitioner - Physician Assistant 4587649074 Reassigns benefits to 1 organization
I20260225001400 WI Practitioner - Physician Assistant 4587649074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle Medical Care of CaliforniaGroup PAC ID 3870894579, 71 clinicians

Practice addresses (Care Compare)

333 1St St
Suite a
San Francisco, CA 94105-2661
Phone (888) 803-3370

333 1St St a
San Francisco, CA 94105-2661

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7162WIMDProfessional Counselor
9073AZMDChiropractor
028637NYMDOrthopedic Physical Therapist
PA61352CAMDPhysician Assistant
0110011223VAMDPhysician Assistant
716223WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care Group PA CurrentSince Aug 22, 2025 Accepting new patients
Diana M. Burda, MD SC Past Accepting new patients
Health Service Systems, Inc Past Accepting new patients

Locations

9700 N 91st St
Ste A115
Scottsdale, AZ 85258
Phone (480) 922-1376

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

21660 W Field Pkwy
Deer Park, IL 60010
Phone (312) 620-1803

1 Research Ct
Ste 450
Rockville, MD 20850
Phone (240) 403-4068

2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423

790 N Milwaukee St
Ste 313
Milwaukee, WI 53202

Interoperability endpoints

  • Direct secure messaging: karen.stadnicki@398008301912068.direct.elationemr.com

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1861419384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 1ST ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052687",
            "telephone_number": "888-803-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 1ST ST STE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052661",
            "telephone_number": "888-803-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 William St Rm 303",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100385307",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Eisenhower Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223144587",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9700 N 91st St Ste A115",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585036",
            "country_code": "US",
            "telephone_number": "888-803-3321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 N Milwaukee St Ste 313",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532024148",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STADNICKI",
        "first_name": "KAREN",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61352",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028637",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9073",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011223",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "716223",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085001824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "085001824",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "028637-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.