EVAN STOLER PA
NPI 1053909895
Physician Assistant in Cranston, RI

Active since January 07, 2021PECOS EnrolledAccepts Medicare Assignment
1150 RESERVOIR AVE STE 203, CRANSTON, RI 02920(401) 259-0340(401) 213-8538 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 12, 2024, Jan 7, 2021 (2 updates tracked since 2021).

About Evan Stoler Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN STOLER PA (NPI 1053909895) is an individual physician assistant in Cranston, Rhode Island, licensed in Rhode Island (PA01584) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053909895
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEVAN STOLERCredential: PA
Location Address1150 RESERVOIR AVE STE 203Cranston, RI 02920-6032
Mailing Address1301 Richmond AveHouston, TX 77006-5451
Fax(401) 213-8538
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 7, 2021
Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
NPI 1053909895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in RI · PA01584 Licensed in NE · 1167869
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PA01584 (RI)
1150 RESERVOIR AVE STE 203, Cranston, RI 02920

Secondary Practice Locations 2

Location 12002 Holcombe BlvdHouston, TX 77030-4211 · Phone (713) 791-1414
Location 21314 Concord Rd SESmyrna, GA 30080-4361 · Phone (770) 438-1799 · Fax (770) 825-9046

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Evan Stoler Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365822848
PECOS Enrollment IDI20231107000109
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02920 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1150 RESERVOIR AVE STE 203
CRANSTON, RI 02920
Social Worker (Clinical)
1150 RESERVOIR AVE STE 203
CRANSTON, RI 02920
Nurse Practitioner (Psychiatric/Mental Health)
1150 RESERVOIR AVE STE 203
CRANSTON, RI 02920
Nurse Practitioner (Psychiatric/Mental Health)
1150 RESERVOIR AVE STE 203
CRANSTON, RI 02920
Counselor (Mental Health)
1150 RESERVOIR AVE STE 203
CRANSTON, RI 02920
Counselor (Mental Health)
1150 RESERVOIR AVE STE 203
CRANSTON, RI 02920
Nurse Practitioner (Psychiatric/Mental Health)
1150 RESERVOIR AVE STE 203
CRANSTON, RI 02920
Psychiatry & Neurology (Psychiatry)
1150 RESERVOIR AVE STE 203
CRANSTON, RI 02920

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053909895, enumerated as an "individual" on January 07, 2021.

The provider is located at 1150 RESERVOIR AVE STE 203 CRANSTON, RI 02920 and the phone number is (401) 259-0340.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Harvard Pilgrim Health Care. Please consult your insurance carrier or call the provider to verify.