Individual provider Active NPI

Stephanie Prenatt, PA-C

  • Physician Assistant
  • Meadville, PA
National Provider Identifier
1922382019
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001003161 Issued in NC
Practice address
640 Alden St
Meadville, PA 16335-2348
Phone
(814) 373-5255
Fax
(814) 373-5259
NPI assigned
Oct 6, 2011
Last updated
Apr 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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 001003161 NC Primary

Addresses

Primary practice location

640 Alden St
Meadville, PA 16335-2348

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 373-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150514001807 PA Practitioner - Physician Assistant 2264606235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, shared by 20 NPIs, 139 clinicians
Titusville Area HospitalGroup PAC ID 8022907575, 77 clinicians

Practice addresses (Care Compare)

640 Alden St
Meadville, PA 16335-2348
Phone (814) 333-7086

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001003161NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Titusville Area Hospital CurrentSince Jun 1, 2019 Accepting new patients
Titusville Area Hospital CurrentSince Jun 1, 2019 Accepting new patients
Lillington Family Medical Center, PA Past Accepting new patients
Titusville Area Hospital Past Accepting new patients

Locations

118 Railroad St
Cambridge Springs, PA 16403
Phone (814) 373-3080

10926 State Highway 18
Conneaut Lake, PA 16316
Phone (814) 382-0446

906 Washington St
Conneautville, PA 16406
Phone (814) 373-2276

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

640 Alden St
Meadville, PA 16335
Phone (814) 373-5255

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

Interoperability endpoints

  • Direct secure messaging: stephanie.prenatt@directaddress.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1922382019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-5255",
            "fax_number": "814-373-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ALDEN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352348",
            "telephone_number": "814-373-5255",
            "fax_number": "814-373-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENATT",
        "first_name": "STEPHANIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001003161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.