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DR. SIOBHAN BROSS STOLTZFUS CRNP, AANP
NPI 1093604258
Nurse Practitioner in Bloomsburg, PA

Active since July 01, 2025PECOS EnrolledAccepts Medicare Assignment
240 MALL BLVD, BLOOMSBURG, PA 17815(570) 416-8200(570) 416-8210 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Jul 1, 2025 (2 updates tracked since 2025).

About Dr. Siobhan Bross Stoltzfus Crnp, Aanp NPPES

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

DR. SIOBHAN BROSS STOLTZFUS CRNP, AANP (NPI 1093604258) is an individual nurse practitioner in Bloomsburg, Pennsylvania, licensed in Pennsylvania (SP033249) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1093604258
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. SIOBHAN BROSS STOLTZFUSCredential: CRNP, AANP
Location Address240 MALL BLVDBloomsburg, PA 17815-8306
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 416-8200 · Fax (570) 416-8210
Phone(570) 416-8200
Fax(570) 416-8210
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 1, 2025
Last NPPES UpdateAugust 28, 20252 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
✔ NPI 1093604258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP033249
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
240 MALL BLVD, Bloomsburg, PA 17815
Open in Google Maps ↗

Other Names 1

Former Name (1)Siobhan Bross

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

Dr. Siobhan Bross Stoltzfus Crnp, Aanp 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 ID9537657002
PECOS Enrollment IDI20251024003558
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 17815 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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.

MEGAN SOKOL
Pharmacist
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (866) 248-1980
GEISINGER CLINIC
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 416-8250
MR. TIMOTHY JAMES DENNEN M.D.
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 416-5435
DR. DENNIS M. SHEEHE M.D.
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 784-8303
MALLORY DAMERON
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 784-8303
CYNTHIA CICCOTELLI MD
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 784-8303
DR. JOHN PACHECO MD
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 784-8303
JOANNA M KRAYNAK DO
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 784-8303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Siobhan Stoltzfus's NPI number?

The NPI number for Siobhan Stoltzfus is 1093604258. It was assigned to this individual provider in the NPPES registry on July 1, 2025. The provider is also known as Siobhan Bross.

Where is Siobhan Stoltzfus located?

Siobhan Stoltzfus practices at 240 Mall Blvd, Bloomsburg, PA 17815. The listed phone number is (570) 416-8200.

What is Siobhan Stoltzfus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Siobhan Stoltzfus enrolled in Medicare?

Yes. Siobhan Stoltzfus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Siobhan Stoltzfus was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.