Individual provider Active NPI

Jon Anthony Stien, PA-C

  • Physician Assistant
  • Desoto, TX
National Provider Identifier
1972659688
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03698 Issued in TX
Practice address
2727 Bolton Boone Dr
#103
Desoto, TX 75115-2019
Phone
(972) 296-7200
Fax
(972) 296-7206
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PA03698 TX Primary

Addresses

Primary practice location

2727 Bolton Boone Dr
#103
Desoto, TX 75115-2019

Mailing address

2727 Bolton Boone Dr
#103
Desoto, TX 75115-2019
Phone (972) 296-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080204000146 TX Practitioner - Physician Assistant 0042268294 Reassigns benefits to 1 organization
I20230109001811 NM Practitioner - Physician Assistant 0042268294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

5700 Harper Dr NE
Suite 110
Albuquerque, NM 87109-3540
Phone (505) 823-9166

720 Saint Michaels Dr
Suite C
Santa Fe, NM 87505-7636
Phone (505) 438-9402

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. CurrentSince Nov 19, 2022 Accepting new patients
American Current Care, P.a. CurrentSince Aug 30, 2011 Accepting new patients
American Current Care P.a. CurrentSince Aug 30, 2011 Accepting new patients

Locations

720 Saint Michaels Dr
Ste D
Santa Fe, NM 87505
Phone (505) 438-9402

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

Organizations & group practices 3

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972659688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE DR",
            "address_2": "#103",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152019",
            "telephone_number": "972-296-7200",
            "fax_number": "972-296-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE DR",
            "address_2": "#103",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152019",
            "telephone_number": "972-296-7200",
            "fax_number": "972-296-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEN",
        "first_name": "JON",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.