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MR. JONATHAN STEPHENS PA-C
NPI 1114535077
Physician Assistant - Surgical in Albany, NY

Active since July 16, 2020PECOS Enrolled
121 EVERETT RD STE 100, ALBANY, NY 12205(518) 489-2663(518) 689-6106 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2022, Jul 24, 2020, Jul 16, 2020 (3 updates tracked since 2020).

About Mr. Jonathan Stephens Pa-c NPPES

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

MR. JONATHAN STEPHENS PA-C (NPI 1114535077) is an individual surgical provider in Albany, New York, licensed in New York (025354) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Southeast Georgia Health System- Brunswick Campus, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114535077
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JONATHAN STEPHENSCredential: PA-C
Location Address121 EVERETT RD STE 100Albany, NY 12205-1447
Mailing Address190 Pine CirBrunswick, GA 31520-1638 · (912) 270-5676
Phone(518) 489-2663
Fax(518) 689-6106
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 16, 2020
Last NPPES UpdateMay 12, 20223 updates tracked since enumeration
NPPES CertifiedMay 12, 2022
✔ NPI 1114535077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 025354
121 EVERETT RD STE 100, Albany, NY 12205
Open in Google Maps ↗

Other Identifiers 1

Other025354NY · Nys License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jonathan Stephens Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385063122
PECOS Enrollment IDI20240531003912
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeast Georgia Health System- Brunswick Campus

Acute Care Hospitals · Brunswick, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110025
Location2415 Parkwood DriveBrunswick, GA 31520 · Glynn County
Emergency services

Other Providers at the Same Location NPPES

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

CHRISTOPHER SZCZESNIAK PA-C
Physician Assistant (Surgical)
121 EVERETT RD STE 100
ALBANY, NY 12205
Albany County (518) 489-2663

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 Jonathan Stephens's NPI number?

The NPI number for Jonathan Stephens is 1114535077. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Where is Jonathan Stephens located?

Jonathan Stephens practices at 121 Everett Rd Ste 100, Albany, NY 12205. The listed phone number is (518) 489-2663.

What is Jonathan Stephens's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jonathan Stephens enrolled in Medicare?

Yes. Jonathan Stephens is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Stephens accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jonathan Stephens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jonathan Stephens affiliated with any hospitals?

According to CMS data, Jonathan Stephens is affiliated with Southeast Georgia Health System- Brunswick Campus.

When was this NPI record last updated?

The NPPES record for Jonathan Stephens was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.