Individual provider Active NPI

Stephanie Marie Harrigan, PA-C

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1932539558
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003885 Issued in OH
Practice address
3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone
(513) 215-1222
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 50.003885 OH Primary

Addresses

Primary practice location

3300 Mercy Health Blvd
Cincinnati, OH 45211-1103

Mailing address

201 Country Trace Dr
Harrison, OH 45030-1858
Phone (513) 502-1740

Other practice location 1

3333 Burnet Avenue
ML 5037
Cincinnati, OH 45229
Phone (513) 636-4834

Other names 1

  • Stephanie Boardman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140124000843 OH Practitioner - Physician Assistant 3375771124 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Urgent Care LLCGroup PAC ID 6406232230, 67 clinicians

Practice addresses (Care Compare)

1 N Brookwood Ave
Hamilton, OH 45013-1209
Phone (513) 981-4203

1064 State Route 28
Unit F
Milford, OH 45150-4940
Phone (513) 981-4050

3300 Princeton Rd
Fairfield Township, OH 45011-5390
Phone (513) 981-4204

454 Ohio Pike
Unit 38
Cincinnati, OH 45255-3394
Phone (513) 981-4201

5555 Glenway Ave
Suite 1090
Cincinnati, OH 45238-3445
Phone (513) 981-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.9 of 100Reported as group
Quality
91.17
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50.003885OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Radiology Corp Past Accepting new patients
Emergency Medicine Physicians of Hamilton County, LTD. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sharrigan150809@direct.bsmhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932539558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 COUNTRY TRACE DR",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450301858",
            "telephone_number": "513-502-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MERCY HEALTH BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111103",
            "telephone_number": "513-215-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Burnet Avenue",
            "address_2": "ML 5037",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45229",
            "country_code": "US",
            "telephone_number": "513-636-4834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIGAN",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BOARDMAN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.