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EARL BLAKE STANSELL PA-C
NPI 1205541091
Physician Assistant - Medical in Raleigh, NC

Active since January 17, 2023PECOS Enrolled
3000 NEW BERN AVE, RALEIGH, NC 27610(919) 350-8000(919) 350-7204 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2024, Sep 4, 2024, Oct 5, 2023 and 1 more (4 updates tracked since 2023).

About Earl Blake Stansell Pa-c NPPES

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

EARL BLAKE STANSELL PA-C (NPI 1205541091) is an individual medical provider in Raleigh, North Carolina, licensed in North Carolina (0010-13533) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205541091
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameEARL BLAKE STANSELLCredential: PA-C
Location Address3000 NEW BERN AVERaleigh, NC 27610-1231
Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (877) 498-4490 · Fax (919) 350-7687
Phone(919) 350-8000
Fax(919) 350-7204
Sole ProprietorNo
Enumeration DateJanuary 17, 2023
Last NPPES UpdateNovember 20, 20244 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1205541091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 0010-13533
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-13533 (NC)
3000 NEW BERN AVE, Raleigh, NC 27610
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Earl Blake Stansell 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 20

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

JILL M PAPPALARDI M.D.
Hospitalist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
MS. TONYA R GABLE LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-4163
MS. HOLLY H HEAD P-LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7445
KATHLEEN VALERIE FIGLER CFNP
Nurse Practitioner (Family)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8779
MRS. BAILEY HARDY UNDERHILL PA-C
Physician Assistant (Medical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
DR. SERDAL AKTOLGA M.D.
Internal Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
JESSICA CARTEE HOWE MS-CCC/SLP
Speech-Language Pathologist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 684-6271
ELIZABETH WILLIS DO
Anesthesiology
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000

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 Earl Stansell's NPI number?

The NPI number for Earl Stansell is 1205541091. It was assigned to this individual provider in the NPPES registry on January 17, 2023.

Where is Earl Stansell located?

Earl Stansell practices at 3000 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-8000.

What is Earl Stansell's specialty?

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

Is Earl Stansell enrolled in Medicare?

Yes. Earl Stansell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Earl Stansell was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.