Active NPI
Jolie Ann Stadelman, PA-C
- Physician Assistant
- Trent Woods, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-02241
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NV7279 | Other | NV | BC/BS |
| 1962698753 | Medicaid | NV | |
| 0010-02241 | Other | NC | NC |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1056 | NV | MD | General Practice Dentistry |
| 0010-02241 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Carolina Health Care PA | Current | 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
- 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.
-
dba CCHC Central Lab
- Internal Medicine Physician
- New Bern, NC
- NPI 1750567970
-
- Orthopaedic Surgery Physician
- New Bern, NC
- NPI 1780949032
-
- Orthopaedic Surgery Physician
- New Bern, NC
- NPI 1053645705
-
dba CCHC New Bern Internal Medicine Specialists
- Internal Medicine Physician
- New Bern, NC
- NPI 1780623207
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Bern, NC
- NPI 1801852835
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
- Patrick M. McDonough, D.D.S., M.S., P.a. (Carolina Center for Dental Implants and Periodontics)
- Maria Scalf Priest, MSW, LCSW, LCAS-A
- Mark William Russell, DMD
- Stephanie Scott, OTR-L
- William Andrew Seman, PH.D.
- Alexandria Bonicelli Taylor
- Kathryn Taylor
- Jeffery Raymond Thomas, D.D.S.
- Lydia Worley Warren, LMFT
- Graylyn Lewis Wiley, PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.