Individual provider Active NPI

Hollie Marie Stapley, PA-C

  • Medical Physician Assistant
  • Price, UT
National Provider Identifier
1891058061
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
83528071206 Issued in UT
Practice address
280 N Hospital Dr
Suite #2
Price, UT 84501-4216
Phone
(435) 613-2229
Fax
(435) 613-2230
NPI assigned
Jun 21, 2012
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 83528071206 UT Primary

Addresses

Primary practice location

280 N Hospital Dr
Suite #2
Price, UT 84501-4216

Mailing address

280 N Hospital Dr
Suite #2
Price, UT 84501-4216
Phone (435) 613-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20121024000655 UT Practitioner - Physician Assistant 7113177312 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83528071206UTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Healthcare, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hollie.stapley.1@3602.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1891058061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N HOSPITAL DR",
            "address_2": "SUITE #2",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014216",
            "telephone_number": "435-613-2229",
            "fax_number": "435-613-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N HOSPITAL DR",
            "address_2": "SUITE #2",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014216",
            "telephone_number": "435-613-2229",
            "fax_number": "435-613-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLEY",
        "first_name": "HOLLIE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "83528071206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

Verify at the official NPI Registry.