Individual provider Active NPI

Brianna Stolz, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1962035642
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
115 Kildaire Park Dr Ste 406
Cary, NC 27518-8144
Phone
(919) 283-1099
Fax
(984) 220-9248
NPI assigned
Feb 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 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 Primary

Addresses

Primary practice location

115 Kildaire Park Dr Ste 406
Cary, NC 27518-8144

Mailing address

115 Kildaire Park Dr Ste 406
Cary, NC 27518-8144
Phone (919) 283-1099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200716000303 NC Practitioner - Physician Assistant 4284058835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak City DermatologyGroup PAC ID 6204228661, 2 clinicians

Practice addresses (Care Compare)

115 Kildaire Park Dr
Suite 406
Cary, NC 27518-8130
Phone (919) 283-1099

Merit-based Incentive Payment System (MIPS)

Final score
91.24 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.79

National Provider Directory

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

Organizations & group practices 1

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1962035642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 406",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188144",
            "telephone_number": "919-283-1099",
            "fax_number": "984-220-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 406",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188144",
            "telephone_number": "919-283-1099",
            "fax_number": "984-220-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLZ",
        "first_name": "BRIANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.