1. Home
  2. Directory
  3. Texas
  4. Tyler
  5. Physician Assistant
  6. NPI Profile

SCOTT STEGALL PA-C
NPI 1356323034
Physician Assistant - Medical in Tyler, TX

Active since November 17, 2005PECOS Enrolled
5414 S BROADWAY AVE, TYLER, TX 75703(903) 581-1601(903) 581-1638 Get Directions Write a Review

NPPES record last updated: July 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2017, Jun 12, 2017, May 12, 2017 and 1 more (4 updates tracked since 2017).

About Scott Stegall Pa-c NPPES

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

SCOTT STEGALL PA-C (NPI 1356323034) is an individual medical provider in Tyler, Texas, licensed in Texas (PA01268) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356323034
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSCOTT STEGALLCredential: PA-C
Location Address5414 S BROADWAY AVETyler, TX 75703-1335
Mailing AddressPo Box 841656Dallas, TX 75284-1656 · (903) 531-5000
Phone(903) 581-1601
Fax(903) 581-1638
Sole ProprietorNo
Enumeration DateNovember 17, 2005
Last NPPES UpdateJuly 17, 20174 updates tracked since enumeration
✔ NPI 1356323034 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 TX · PA01268
5414 S BROADWAY AVE, Tyler, TX 75703
Open in Google Maps ↗

Other Identifiers 9

Other8780MDTX · Bcbs
OtherP01811994TX · Rail Road Medicare
Other8854MBTX · Bcbs
Medicare PIN348859YK7LTX
OtherP01811499TX · Rail Road Medicare
Medicaid337197302TX
Medicare PIN83N235TX
Medicare UPINS68083TX
Medicaid337197303TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, HMO Louisiana.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)

Scott Stegall 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 19

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

JEREMY MICHAEL TROYER FNP
Nurse Practitioner
5414 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 581-1601
MICHELLE PARKER MD
Emergency Medicine
5414 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 581-1601
DEBORAH L BOYD DO
Family Medicine
5414 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 581-1601
MS. MARYELLEN WARRO SMITH P.A.
Physician Assistant
5414 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 581-1601
JESSICA ATKINSON PA
Physician Assistant
5414 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 581-1601
CHARLES P ISBELL M.D.
Emergency Medicine
5414 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 581-1601
MRS. RONEISA MATERO NP
Nurse Practitioner (Family)
5414 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 581-1601
JENNIFER HARPER FNP-C
Nurse Practitioner (Family)
5414 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 581-1601

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 Scott Stegall's NPI number?

The NPI number for Scott Stegall is 1356323034. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Scott Stegall located?

Scott Stegall practices at 5414 S Broadway Ave, Tyler, TX 75703. The listed phone number is (903) 581-1601.

What is Scott Stegall's specialty?

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

Is Scott Stegall enrolled in Medicare?

Yes. Scott Stegall is registered in the Medicare PECOS enrollment system.

What insurance does Scott Stegall accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and HMO Louisiana list Scott Stegall 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.

When was this NPI record last updated?

The NPPES record for Scott Stegall was last updated on July 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.