Individual provider Active NPI

Stephanie Margaret Gleason, PA

  • Physician Assistant
  • West Springfield, MA
National Provider Identifier
1992411078
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
271 Park St
West Springfield, MA 01089-3311
Phone
(413) 785-1153
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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 MA Primary

Addresses

Primary practice location

271 Park St
West Springfield, MA 01089-3311

Mailing address

271 Park St
West Springfield, MA 01089-3311
Phone (413) 785-1153

Other practice location 1

265 Benton Dr Ste 201
East Longmeadow, MA 01028-3219
Phone (413) 525-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 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
I20230228002509 MA Practitioner - Physician Assistant 1052784782 Reassigns benefits to 4 organizations
I20241029004072 CT Practitioner - Physician Assistant 1052784782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Medical Center LLCGroup PAC ID 0840570628, 52 clinicians
Dispatchhealth Massachusetts PCGroup PAC ID 0840542791, 22 clinicians

Practice addresses (Care Compare)

105 W Rd
Ellington, CT 06029-5700
Phone (860) 454-0678

136 Berlin Rd
Cromwell, CT 06416-2627
Phone (860) 378-8585

1505 Memorial Dr
Chicopee, MA 01020-3900
Phone (413) 366-9977

2909 Berlin Tpke
Newington, CT 06111-4115
Phone (860) 454-0678

300 1St Ave
Suite 101
Needham, MA 02494-2737
Phone (303) 500-1518

311 E Main St
Westfield, MA 01085-3307
Phone (413) 516-2355

430 Cooley St
Springfield, MA 01128-1180
Phone (413) 295-4144

45 S Main St
Unionville, CT 06085-1278
Phone (860) 470-7710

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6748CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth Massachusetts PC CurrentSince Jan 23, 2026 Accepting new patients
Pioneer Spine and Sports Physicians PC CurrentSince Feb 14, 2023 Accepting new patients
Excella Home Health Agency, LLC Past Accepting new patients

Locations

567 Southbridge St
Ste 10
Auburn, MA 01501
Phone (413) 998-1980

265 Benton Dr
Ste 201
East Longmeadow, MA 01028
Phone (413) 525-2124

300 1st Ave
Ste 101
Needham, MA 02494

766 N King St
Northampton, MA 01060
Phone (413) 586-0230

123 Park Ave
West Springfield, MA 01089
Phone (413) 732-8700

271 Park St
West Springfield, MA 01089
Phone (413) 785-1153

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1992411078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 PARK ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893311",
            "telephone_number": "413-785-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 PARK ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893311",
            "telephone_number": "413-785-1153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Benton Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "East Longmeadow",
            "state": "MA",
            "postal_code": "010283219",
            "country_code": "US",
            "telephone_number": "413-525-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "STEPHANIE",
        "middle_name": "MARGARET",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.