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MRS. JAMIE LICHTENSTEIN STACKMAN PA-C
NPI 1134449614
Physician Assistant - Medical in Gaithersburg, MD

Active since June 07, 2010PECOS Enrolled
7 GRANITE PL STE 14, GAITHERSBURG, MD 20878(240) 631-1170 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jamie Lichtenstein Stackman Pa-c NPPES

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

MRS. JAMIE LICHTENSTEIN STACKMAN PA-C (NPI 1134449614) is an individual medical provider in Gaithersburg, Maryland, licensed in Maryland (C0004117) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134449614
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JAMIE LICHTENSTEIN STACKMANCredential: PA-C
Location Address7 GRANITE PL STE 14Gaithersburg, MD 20878-6607
Mailing Address7 Granite Place, Suite 14Gaithersburg, MD 20878-3201 · (240) 631-1170
Phone(240) 631-1170
Sole ProprietorNo
Enumeration DateJune 7, 2010
Last NPPES UpdateDecember 19, 2013
✔ NPI 1134449614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C0004117
7 GRANITE PL STE 14, Gaithersburg, MD 20878
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Other Names 1

Former Name (1)Ms. Jamie Nicole Lichtenstein Pa-c

Other Identifiers 1

Medicare NSC1134449614MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jamie Lichtenstein Stackman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

MICHELLE EKUA SERWAA TWEEDIE PA-C
Physician Assistant
7 GRANITE PL STE 14
GAITHERSBURG, MD 20878
Montgomery County (240) 631-1170
JEREMY J. JANSSEN, M.D., P.C.
Family Medicine
7 GRANITE PL STE 14
GAITHERSBURG, MD 20878
Montgomery County (240) 631-1170

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 Jamie Stackman's NPI number?

The NPI number for Jamie Stackman is 1134449614. It was assigned to this individual provider in the NPPES registry on June 7, 2010. The provider is also known as Ms. Jamie Nicole Lichtenstein Pa-C.

Where is Jamie Stackman located?

Jamie Stackman practices at 7 Granite Pl Ste 14, Gaithersburg, MD 20878. The listed phone number is (240) 631-1170.

What is Jamie Stackman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jamie Stackman enrolled in Medicare?

Yes. Jamie Stackman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jamie Stackman was last updated on December 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.