Individual provider Active NPI

Jolie Ann Stadelman, PA-C

  • Physician Assistant
  • Trent Woods, NC
National Provider Identifier
1962698753
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02241 Issued in NC
Practice address
5222 Moye Road
Trent Woods, NC 28562-7458
Phone
(216) 513-0791
Fax
(252) 633-8004
NPI assigned
Sep 14, 2007
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1056 NV
Physician Assistant 363A00000X 0010-02241 NC Primary

Addresses

Primary practice location

5222 Moye Road
Trent Woods, NC 28562-7458

Mailing address

5222 Moye Rd
Trent Woods, NC 28562-7458
Phone (216) 513-0791

Other practice location 1

2000 Brabham Ave Ste 100
Jacksonville, NC 28546-0202
Phone (910) 332-3800

Other identifiers 3

IdentifierTypeStateIssuer
NV7279OtherNVBC/BS
1962698753MedicaidNV
0010-02241OtherNCNC

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
I20100920000332 NC Practitioner - Physician Assistant 8628166980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Health Care PAGroup PAC ID 9739087693, 122 clinicians
DHP of North Carolina PCGroup PAC ID 1153570783, 26 clinicians

Practice addresses (Care Compare)

1000 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-3278

1020 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 514-6685

1030 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-3278

1040 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 638-2273

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8005

2007 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8005

900 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 639-5959

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1056NVMDGeneral Practice Dentistry
0010-02241NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Health Care PA CurrentSince Aug 15, 2025 Accepting new patients
Carolina East Orthopedic Specialists LLC Past Accepting new patients
Coastal Carolina Health Care PA Past Accepting new patients

Locations

1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

Interoperability endpoints

  • Direct secure messaging: jstadelman27021@coastalcarolinahealthcenter.gardenplot.direct-ci.com

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 1

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": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1962698753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 MOYE RD",
            "city": "TRENT WOODS",
            "state": "NC",
            "postal_code": "285627458",
            "telephone_number": "216-513-0791",
            "fax_number": "252-633-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 MOYE ROAD",
            "city": "TRENT WOODS",
            "state": "NC",
            "postal_code": "285627458",
            "telephone_number": "216-513-0791",
            "fax_number": "252-633-8004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Brabham Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285460202",
            "country_code": "US",
            "telephone_number": "910-332-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STADELMAN",
        "first_name": "JOLIE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "1056",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "NV7279",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962698753",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC",
            "identifier": "0010-02241",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trent Woods, NC

Sources for this page

Verify at the official NPI Registry.